| Christian Wellness Center Of Nj Llc | |
|
225 Demott Ln Suite 204 Somerset NJ 08873-4875 | |
| (732) 873-2777 | |
| Not Available |
| Full Name | Christian Wellness Center Of Nj Llc |
|---|---|
| Speciality | Counselor |
| Location | 225 Demott Ln, Somerset, New Jersey |
| Authorized Official Name and Position | Venita S Welcome (PRESIDENT) |
| Authorized Official Contact | 7328732777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Wellness Center Of Nj Llc Po Box 5804 Somerset NJ 08875-5804 Ph: () - | Christian Wellness Center Of Nj Llc 225 Demott Ln Suite 204 Somerset NJ 08873-4875 Ph: (732) 873-2777 |
| NPI Number | 1487955951 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 05/02/2017 |
| Medicare PECOS PAC ID | 6709156409 |
|---|---|
| Medicare Enrollment ID | O20170727001989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487955951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC003014000 (New Jersey) | Primary |
| Provider Name | Emad Mounir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598899015 PECOS PAC ID: 5294049151 Enrollment ID: I20150805008389 |
| Provider Name | Venita S Welcome |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295774313 PECOS PAC ID: 9931471166 Enrollment ID: I20240110001052 |
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