| Individual And Family Therapeutic Wellness | |
|
802 Tilton Rd Ste 102 Northfield NJ 08225-1233 | |
| (609) 377-8074 | |
| (509) 710-0400 |
| Full Name | Individual And Family Therapeutic Wellness |
|---|---|
| Speciality | Social Worker |
| Location | 802 Tilton Rd Ste 102, Northfield, New Jersey |
| Authorized Official Name and Position | Elizabeth Flores (OWNER) |
| Authorized Official Contact | 6099929966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual And Family Therapeutic Wellness 802 Tilton Rd Ste 102 Northfield NJ 08225-1233 Ph: (609) 377-8074 | Individual And Family Therapeutic Wellness 802 Tilton Rd Ste 102 Northfield NJ 08225-1233 Ph: (609) 377-8074 |
| NPI Number | 1508453788 |
|---|---|
| Provider Enumeration Date | 12/22/2020 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 3375941123 |
|---|---|
| Medicare Enrollment ID | O20211007002959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508453788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962909663 PECOS PAC ID: 7810252475 Enrollment ID: I20180531001665 |
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