| The Mindful Wellness Place | |
|
1200 S Church St Ste 18 Mount Laurel NJ 08054-2936 | |
| (856) 639-6500 | |
| (856) 329-7827 |
| Full Name | The Mindful Wellness Place |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 S Church St Ste 18, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Melissa Anne Smith (OWNER/OPERATOR) |
| Authorized Official Contact | 8566396500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindful Wellness Place 1200 S Church St Ste 18 Mount Laurel NJ 08054-2936 Ph: (856) 639-6500 | The Mindful Wellness Place 1200 S Church St Ste 18 Mount Laurel NJ 08054-2936 Ph: (856) 639-6500 |
| NPI Number | 1821702564 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 5890168538 |
|---|---|
| Medicare Enrollment ID | O20230301000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821702564 | NPI | - | NPPES |
| 26NJ01009500 | Other | NJ | NJ APN LICENSE |
| 805257 | Other | NY | NY RN LICENSE |
| RN596049 | Other | PA | PA RN LICENSE |
| 403315 | Other | NY | NY APN LICENSE |
| SP022399 | Other | PA | PA APN LICENSE |
| 26NR12116300 | Other | NJ | NJ RN LICENSE |
| 0905976 | Medicaid | NJ |
| Provider Name | Melissa Anne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649571175 PECOS PAC ID: 7012322902 Enrollment ID: I20230301002524 |
Rosa Zenquis-mckoy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Fellowship Rd Ste 200, Mount Laurel, NJ 08054 Phone: 609-721-3068 | |
Mt Laurel Ctr For The Family Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Route 73, Ramblewood Ctr Ste 12, Mount Laurel, NJ 08054 Phone: 856-722-9772 Fax: 856-722-9721 | |
Oaks Integrated Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97a W Bluebell Ln, Mount Laurel, NJ 08054 Phone: 609-267-5928 | |
Sand Castle Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Route 73 Ste 12, Mount Laurel, NJ 08054 Phone: 856-745-0238 | |
Pearl Prof Psych Services Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3804 Church Rd, Mount Laurel, NJ 08054 Phone: 856-778-2100 Fax: 856-787-9588 | |
Duckett & Charleston Psychological Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3221 Route 38 Ste 201, Mount Laurel, NJ 08054 Phone: 609-251-6947 | |
Marianne Clark Psyd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3804 Church Rd, Mount Laurel, NJ 08054 Phone: 862-219-1125 |