Organization Name: | WELLNESS MANAGEMENT LLC |
NPI Number: | 1558709451 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LILY MO (OFFICE MANAGER) |
Mailing Address: | 134 Walnut St Livingston |
State: | NJ US |
Postal Code: | 070392513 |
Phone Number: | 9734620496 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2013 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 25MA07805000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |