| Evolving Wellness Group | |
|
563 Patten Ave Long Branch NJ 07740-7823 | |
| (732) 977-4987 | |
| Not Available |
| Full Name | Evolving Wellness Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 563 Patten Ave, Long Branch, New Jersey |
| Authorized Official Name and Position | Beth Lerner (CO-OWNER) |
| Authorized Official Contact | 7329774987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Wellness Group 563 Patten Ave Long Branch NJ 07740-7823 Ph: (732) 977-4987 | Evolving Wellness Group 563 Patten Ave Long Branch NJ 07740-7823 Ph: (732) 977-4987 |
| NPI Number | 1699472852 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 02/08/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699472852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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