| Welcome Wellness & Therapy Services Llc | |
|
462 Irvington Ave South Orange NJ 07079-2540 | |
| (973) 879-0693 | |
| Not Available |
| Full Name | Welcome Wellness & Therapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 462 Irvington Ave, South Orange, New Jersey |
| Authorized Official Name and Position | Sherrill Welcome (SOLE OWNER) |
| Authorized Official Contact | 9738790693 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welcome Wellness & Therapy Services Llc 462 Irvington Ave South Orange NJ 07079-2540 Ph: (973) 879-0693 | Welcome Wellness & Therapy Services Llc 462 Irvington Ave South Orange NJ 07079-2540 Ph: (973) 879-0693 |
| NPI Number | 1174376784 |
|---|---|
| Provider Enumeration Date | 04/11/2024 |
| Last Update Date | 04/11/2024 |
| Certification Date | 04/11/2024 |
| Medicare PECOS PAC ID | 5092155614 |
|---|---|
| Medicare Enrollment ID | O20240430002917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174376784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sherrill Welcome |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457068264 PECOS PAC ID: 6002280302 Enrollment ID: I20230329000522 |
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