Active NPIOrganization

Black Falls Therapy And Wellness, LLC

Social Worker, Clinical in Westampton, New Jersey

NPI Number1629822184
Practice location
215 Main St., Suite 2A, Westampton, NJ 08060
Fax
—
Last updated
April 12, 2024

Black Falls Therapy And Wellness, LLC is a healthcare organization based in Westampton, NJ. Black Falls Therapy And Wellness, LLC practices in Westampton, NJ. The NPI Number for Black Falls Therapy And Wellness, LLC is 1629822184. The current practice location address for Black Falls Therapy And Wellness, LLC is 215 Main St., Suite 2A, Westampton, NJ 08060 and can be reached out via phone at 609-491-2924.

Provider Profile Details

NPI Number
1629822184
Provider Name
Black Falls Therapy And Wellness, LLC
Provider Entity Type
Organization
Address
215 Main St., Suite 2A, Westampton, NJ 08060
Phone Number
609-491-2924
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Kristina M Odumes, LCSW, CIMHP · Clinic Director · 609-491-2924
Other Names
Black Falls Therapy And Wellness, LLC (Former Legal Business Name)
Provider Enumeration Date
April 12, 2024
Last Update Date
April 12, 2024
Certification Date
April 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
215 Main St., Suite 2A
Westampton, NJ 08060
Zip
08060
Phone Number
609-491-2924
Westampton, NJ 08060Get directions →

Provider Business Mailing Address Details

Address
26 Fireside CT
Willingboro, NJ 08046-2020
City
Willingboro
State
NJ
Zip
08046-2020
Phone Number
609-491-2924

License Information

Taxonomy
Social Worker, Clinical · 1041C0700X · 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 Black Falls Therapy And Wellness, LLC?

The NPI number of Black Falls Therapy And Wellness, LLC is 1629822184. It was assigned on April 12, 2024 and is currently active in the NPPES registry.

What is the specialty of Black Falls Therapy And Wellness, LLC?

Black Falls Therapy And Wellness, LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Black Falls Therapy And Wellness, LLC practice?

The practice location is 215 Main St., Suite 2A, Westampton, NJ 08060. The office can be reached at 609-491-2924 (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 1629822184 directly on the NPPES registry website.

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