SELF AND WELLNESS, LLC – NPI #1790521391
Clinic/Center

SELF AND WELLNESS, LLC is an AHC clinic located in MARLTON, NJ. NPPES has assigned the NPI number 1790521391 to SELF AND WELLNESS, LLC on July 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SELF AND WELLNESS, LLC below.

NPI Profile for
SELF AND WELLNESS, LLC

NPI Number
1790521391
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SELF AND WELLNESS, LLC
Primary location
5 GREENTREE CENTRE
SUITE 104
MARLTON, NJ 08053
Phone: (914) 361-5991 Fax:
Mailing address
349 SAINT CLOUD AVE
WEST ORANGE, NJ 07052-2517
Phone: (914) 562-9688 Fax:
Organization Subpart
No
Authorized Official
JESSICA BALMIR
DIRECTOR/THERAPIST
Phone: (914) 562-9688
Updated
Certification Date
Jul 02, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.