Provider Demographics
NPI:1346979325
Name:WELLNESS & BEHAVIORAL SOLUTIONS LLC
Entity Type:Organization
Organization Name:WELLNESS & BEHAVIORAL SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHIDAH
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:GARRETT-HALL
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:732-639-3163
Mailing Address - Street 1:769 CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2231
Mailing Address - Country:US
Mailing Address - Phone:732-639-3163
Mailing Address - Fax:732-214-0629
Practice Address - Street 1:660 TENNENT RD STE 201
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3163
Practice Address - Country:US
Practice Address - Phone:732-639-3163
Practice Address - Fax:732-214-0629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0813XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, GeropsychiatricGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0700622Medicaid