| Mental Health & Wellness Center Llc | |
|
71 Franklin Ave Midland Park NJ 07432-1919 | |
| (201) 483-7864 | |
| Not Available |
| Full Name | Mental Health & Wellness Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 71 Franklin Ave, Midland Park, New Jersey |
| Authorized Official Name and Position | Lauren Luppino (OWNER) |
| Authorized Official Contact | 2014837864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health & Wellness Center Llc 71 Franklin Ave Midland Park NJ 07432-1919 Ph: () - | Mental Health & Wellness Center Llc 71 Franklin Ave Midland Park NJ 07432-1919 Ph: (201) 483-7864 |
| NPI Number | 1801289111 |
|---|---|
| Provider Enumeration Date | 03/11/2015 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Medicare PECOS PAC ID | 2163736992 |
|---|---|
| Medicare Enrollment ID | O20150806011005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801289111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lauren N Luppino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972828507 PECOS PAC ID: 9739217498 Enrollment ID: I20100517000843 |
| Provider Name | Susannah Mandel Brill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932752789 PECOS PAC ID: 1850748435 Enrollment ID: I20231104000053 |
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