| Brownstone Center For Wellness, Llc | |
|
502 Degas Ct Williamstown NJ 08094-6371 | |
| (856) 404-3604 | |
| Not Available |
| Full Name | Brownstone Center For Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 Degas Ct, Williamstown, New Jersey |
| Authorized Official Name and Position | Deborah Brown (OWNER) |
| Authorized Official Contact | 8564043604 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brownstone Center For Wellness, Llc 502 Degas Ct Williamstown NJ 08094-6371 Ph: (856) 404-3604 | Brownstone Center For Wellness, Llc 502 Degas Ct Williamstown NJ 08094-6371 Ph: (856) 404-3604 |
| NPI Number | 1174291637 |
|---|---|
| Provider Enumeration Date | 08/31/2021 |
| Last Update Date | 08/31/2021 |
| Certification Date | 08/31/2021 |
| Medicare PECOS PAC ID | 6709320302 |
|---|---|
| Medicare Enrollment ID | O20240705002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174291637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Rene Youssef |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285396747 PECOS PAC ID: 1850789512 Enrollment ID: I20211028002975 |
| Provider Name | Robin June Carlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699344366 PECOS PAC ID: 1951773704 Enrollment ID: I20230204000518 |
| Provider Name | Nicholas Gish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689398638 PECOS PAC ID: 9931559408 Enrollment ID: I20231224000014 |
| Provider Name | Deborah Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114368420 PECOS PAC ID: 0244774842 Enrollment ID: I20240705002515 |
| Provider Name | Alyssa Vicente |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407623572 PECOS PAC ID: 0042755027 Enrollment ID: I20240715001541 |
| Provider Name | Courtney Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124592969 PECOS PAC ID: 2062956667 Enrollment ID: I20240722001874 |
| Provider Name | Johanna Rose Durazzi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871311191 PECOS PAC ID: 6406389675 Enrollment ID: I20241025002399 |
| Provider Name | Erin Epstein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134946502 PECOS PAC ID: 0446785570 Enrollment ID: I20241126000426 |
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