Provider Demographics
NPI:1346094794
Name:INTEGRATIVE WELLNESS COUNSELING
Entity Type:Organization
Organization Name:INTEGRATIVE WELLNESS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-867-8020
Mailing Address - Street 1:PO BOX 634
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-0634
Mailing Address - Country:US
Mailing Address - Phone:973-867-8020
Mailing Address - Fax:973-377-7129
Practice Address - Street 1:115 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1480
Practice Address - Country:US
Practice Address - Phone:973-867-8020
Practice Address - Fax:973-377-7129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty