Provider Demographics
NPI:1497025357
Name:HEALING ORCHID WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:HEALING ORCHID WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATANIA
Authorized Official - Suffix:
Authorized Official - Credentials:ACMT
Authorized Official - Phone:973-646-8966
Mailing Address - Street 1:11 ROARING BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-4401
Mailing Address - Country:US
Mailing Address - Phone:973-646-8966
Mailing Address - Fax:973-616-5799
Practice Address - Street 1:11 ROARING BROOK WAY
Practice Address - Street 2:
Practice Address - City:WEST MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07480-4401
Practice Address - Country:US
Practice Address - Phone:973-646-8966
Practice Address - Fax:973-616-5799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26BT00216300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty