Provider Demographics
NPI:1982000600
Name:FAMILY HEALTH AND WELLNESS SERVICES
Entity Type:Organization
Organization Name:FAMILY HEALTH AND WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSCYCHOLOGIST/FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GINGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-273-6464
Mailing Address - Street 1:45 RIVER RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-1452
Mailing Address - Country:US
Mailing Address - Phone:908-273-6464
Mailing Address - Fax:908-273-6161
Practice Address - Street 1:45 RIVER RD
Practice Address - Street 2:SUITE 8
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-1452
Practice Address - Country:US
Practice Address - Phone:908-273-6464
Practice Address - Fax:908-273-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-06
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4422251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health