Provider Demographics
NPI:1861678245
Name:HEALTH WEALTH INC
Entity Type:Organization
Organization Name:HEALTH WEALTH INC
Other - Org Name:ADVENTURELORE PROGRAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOLDER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCMHC
Authorized Official - Phone:603-382-4661
Mailing Address - Street 1:PO BOX 395
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03819-0395
Mailing Address - Country:US
Mailing Address - Phone:603-382-4661
Mailing Address - Fax:603-382-0571
Practice Address - Street 1:197 LONG POND RD.
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:NH
Practice Address - Zip Code:03819
Practice Address - Country:US
Practice Address - Phone:603-382-4661
Practice Address - Fax:603-382-0571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH192251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30009729Medicaid