Inner Wellth LLC
Community/Behavioral Health in Mountain Lakes, New Jersey
1992077622- Practice location
- 420 Boulevard, Suite 101, Mountain Lakes, NJ 07046-1742
- Phone
- 973-321-4380
- Fax
- 973-794-5350
- Last updated
- January 26, 2012
Inner Wellth LLC is a healthcare organization based in Mountain Lakes, NJ. Inner Wellth LLC practices in Mountain Lakes, NJ. The NPI Number for Inner Wellth LLC is 1992077622 and holds a License No. 35SI00473800 (NJ). The current practice location address for Inner Wellth LLC is 420 Boulevard, Suite 101, Mountain Lakes, NJ 07046-1742 and can be reached out via phone at 973-321-4380 and via fax at 973-794-5350.
Provider Profile Details
- NPI Number
- 1992077622
- Provider Name
- Inner Wellth LLC
- Provider Entity Type
- Organization
- Address
- 420 Boulevard, Suite 101, Mountain Lakes, NJ 07046-1742
- Phone Number
- 973-321-4380
- Fax Number
- 973-794-5350
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Randolph Scott Shipon, PHD · Member · 973-321-4380
- Provider Enumeration Date
- January 26, 2012
- Last Update Date
- January 26, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1742 - City
- Mountain Lakes
- State
- New Jersey
- Zip
- 07046-1742
- Phone Number
- 973-321-4380
- Fax Number
- 973-794-5350
Provider Business Mailing Address Details
- Address
- 420 Boulevard
Suite 101
Mountain Lakes, NJ 07046-1742 - City
- Mountain Lakes
- State
- NJ
- Zip
- 07046-1742
- Phone Number
- 973-321-4380
- Fax Number
- 973-794-5350
License Information
- License Number
- 35SI00473800
- License State
- NJ
- Taxonomy
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community/Behavioral Health providers near Mountain Lakes, NJ
View all Community/Behavioral Health providers in Mountain Lakes →Frequently Asked Questions
What is the NPI number of Inner Wellth LLC?
The NPI number of Inner Wellth LLC is 1992077622. It was assigned on January 26, 2012 and is currently active in the NPPES registry.
What is the specialty of Inner Wellth LLC?
Inner Wellth LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in NJ under license number 35SI00473800.
Where does Inner Wellth LLC practice?
The practice location is 420 Boulevard, Suite 101, Mountain Lakes, NJ 07046-1742. The office can be reached at 973-321-4380 (phone) or 973-794-5350 (fax).
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 1992077622 directly on the NPPES registry website.