| New Jersey Mental Health And Nutritional Group Llc | |
|
3 Marigold Dr Apt B Maple Shade NJ 08052-8470 | |
| (732) 344-0604 | |
| Not Available |
| Full Name | New Jersey Mental Health And Nutritional Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3 Marigold Dr Apt B, Maple Shade, New Jersey |
| Authorized Official Name and Position | Evangaline Croix (OWNER/LCSW) |
| Authorized Official Contact | 7323440604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Mental Health And Nutritional Group Llc 3 Marigold Dr Apt B Maple Shade NJ 08052-8470 Ph: () - | New Jersey Mental Health And Nutritional Group Llc 3 Marigold Dr Apt B Maple Shade NJ 08052-8470 Ph: (732) 344-0604 |
| NPI Number | 1912480765 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 09/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912480765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 133N00000X | Nutritionist | (* (Not Available)) | Secondary |
John B Hudome Innovative Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 105 E Main St, Maple Shade, NJ 08052 Phone: 856-438-5256 | |
Neurological Regional Associates, P.a. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 504 Route 38 E, Maple Shade, NJ 08052 Phone: 856-866-0466 Fax: 856-727-1483 |