| Modern Wellness Llc | |
|
2130 Route 35 Ste 227 Sea Girt NJ 08750-1011 | |
| (908) 565-1478 | |
| Not Available |
| Full Name | Modern Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2130 Route 35 Ste 227, Sea Girt, New Jersey |
| Authorized Official Name and Position | Laine Happel (OWNER) |
| Authorized Official Contact | 9085651478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness Llc 2130 Route 35 Ste 227 Sea Girt NJ 08750-1011 Ph: (908) 565-1478 | Modern Wellness Llc 2130 Route 35 Ste 227 Sea Girt NJ 08750-1011 Ph: (908) 565-1478 |
| NPI Number | 1245862986 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Certification Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245862986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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