Heather Lynne Provence
PMHNP | Nurse Practitioner - Psych/Mental Health
890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence
New Jersey, 07974
908-277-8900
Heather Lynne Provence is a New Providence, New Jersey based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Heather Lynne Provence is 26NJ01289400 for Psych/Mental Health in New Jersey. Her current practice location is 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence. Patients can reach her at 908-277-8900 or can fax her at 908-508-8919. Heather Lynne Provence is PMHNP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1295221612.
Heather Lynne Provence provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Heather Lynne Provence speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Heather Lynne Provence |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP |
| Practice Address: | 890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence,
New Jersey, 07974 |
| Phone: | 908-277-8900 |
| Fax: | 908-508-8919 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1295221612 |
| NPI Enumeration Date: | 09 Jul, 2018 |
| NPI Last Update On: | 03 Jul, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heather Lynne Provence are as mentioned below.
| License Number | Specialization | State | Status | |
| 26NJ01289400 | Psych/Mental Health | New Jersey | Primary | |
| F402394-1 | Psych/Mental Health | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Heather Lynne Provence such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 05265370 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Heather Lynne Provence
1 Diamond Hill Rd,
Berkeley Heights, New Jersey |
| Zip: | 07922-2104 |
| Phone Number: | 908-273-4300 |
Patients can reach Heather Lynne Provence at
890 Mountain Ave, Behavioral Health & Cognitive Therapy, New Providence, New Jersey or can
call to book an appointment on 908-277-8900.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.