Hicks Group: Wellness Center | |
2130 Millburn Ave Ste C8 Maplewood NJ 07040-3725 | |
(908) 364-7611 | |
(908) 913-0912 |
Full Name | Hicks Group: Wellness Center |
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Speciality | Counselor - Mental Health |
Location | 2130 Millburn Ave, Maplewood, New Jersey |
Authorized Official Name and Position | Aunjuli Hicks (OWNER/MANAGING DIRECTOR) |
Authorized Official Contact | 9083647611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Hicks Group: Wellness Center 2130 Millburn Ave Ste C8 Maplewood NJ 07040-3725 Ph: (908) 364-7611 | Hicks Group: Wellness Center 2130 Millburn Ave Ste C8 Maplewood NJ 07040-3725 Ph: (908) 364-7611 |
NPI Number | 1174981948 |
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Provider Enumeration Date | 02/08/2016 |
Last Update Date | 02/08/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174981948 | NPI | - | NPPES |
1861743361 | Other | NJ | GROUP ID BCBS |
1225361157 | Other | NJ | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37PC00408800 (New Jersey) | Primary |
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