Active NPIOrganization

Liblune Wellness Health Care Center LLC

Nurse Practitioner, Psych/Mental Health in East Orange, New Jersey

NPI Number1619659117
Practice location
576 Central Ave Ste 303, East Orange, NJ 07018-1974
Fax
—
Last updated
October 24, 2026

Liblune Wellness Health Care Center LLC is a healthcare organization based in East Orange, NJ. Liblune Wellness Health Care Center LLC practices in East Orange, NJ. The NPI Number for Liblune Wellness Health Care Center LLC is 1619659117. The current practice location address for Liblune Wellness Health Care Center LLC is 576 Central Ave Ste 303, East Orange, NJ 07018-1974 and can be reached out via phone at 201-407-0566.

Provider Profile Details

NPI Number
1619659117
Provider Name
Liblune Wellness Health Care Center LLC
Provider Entity Type
Organization
Address
576 Central Ave Ste 303, East Orange, NJ 07018-1974
Phone Number
201-407-0566
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Suzie Collin, DNP, PMHNP-BC, AGNP-C · Authorized Official · 201-407-0566
Provider Enumeration Date
August 3, 2023
Last Update Date
October 24, 2026
Certification Date
October 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
576 Central Ave Ste 303
East Orange, NJ 07018-1974
Zip
07018-1974
Phone Number
201-407-0566
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
109 E Broad St Apt C
Westfield, NJ 07090-2274
City
Westfield
State
NJ
Zip
07090-2274
Phone Number
201-407-0566
Fax Number
908-233-9562

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Liblune Wellness Health Care Center LLC?

The NPI number of Liblune Wellness Health Care Center LLC is 1619659117. It was assigned on August 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Liblune Wellness Health Care Center LLC?

Liblune Wellness Health Care Center LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Liblune Wellness Health Care Center LLC practice?

The practice location is 576 Central Ave Ste 303, East Orange, NJ 07018-1974. The office can be reached at 201-407-0566 (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 1619659117 directly on the NPPES registry website.

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