Wellness Direct LLC
Nurse Practitioner, Psych/Mental Health in Cedar Grove, New Jersey
1154844009- Practice location
- 1425 Pompton Ave, Cedar Grove, NJ 07009-1043
- Phone
- 973-464-7139
- Fax
- —
- Last updated
- July 24, 2017
Wellness Direct LLC is a healthcare organization based in Cedar Grove, NJ. Wellness Direct LLC practices in Cedar Grove, NJ. The NPI Number for Wellness Direct LLC is 1154844009 and holds a License No. 26NJ00654700 (NJ). The current practice location address for Wellness Direct LLC is 1425 Pompton Ave, Cedar Grove, NJ 07009-1043 and can be reached out via phone at 973-464-7139.
Provider Profile Details
- NPI Number
- 1154844009
- Provider Name
- Wellness Direct LLC
- Provider Entity Type
- Organization
- Address
- 1425 Pompton Ave, Cedar Grove, NJ 07009-1043
- Phone Number
- 973-464-7139
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Mrs. Linda O Winful, PMHNP-BC · Apn · 973-464-7139
- Provider Enumeration Date
- July 24, 2017
- Last Update Date
- July 24, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1425 Pompton Ave
Cedar Grove, NJ 07009-1043 - City
- Cedar Grove
- State
- New Jersey
- Zip
- 07009-1043
- Phone Number
- 973-464-7139
Provider Business Mailing Address Details
- Address
- 51 Cedar Ave
Montclair, NJ 07042-2446 - City
- Montclair
- State
- NJ
- Zip
- 07042-2446
License Information
- License Number
- 26NJ00654700
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Wellness Direct LLC?
The NPI number of Wellness Direct LLC is 1154844009. It was assigned on July 24, 2017 and is currently active in the NPPES registry.
What is the specialty of Wellness Direct LLC?
Wellness Direct LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00654700.
Where does Wellness Direct LLC practice?
The practice location is 1425 Pompton Ave, Cedar Grove, NJ 07009-1043. The office can be reached at 973-464-7139 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154844009 directly on the NPPES registry website.