Provider Demographics
NPI:1134857105
Name:LYMBIC HEALTH AND WELLNESS
Entity type:Organization
Organization Name:LYMBIC HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:PROF
Authorized Official - First Name:DANYELLE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MORSTON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:917-207-7598
Mailing Address - Street 1:152 W 141ST ST APT 5C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-1863
Mailing Address - Country:US
Mailing Address - Phone:917-207-7598
Mailing Address - Fax:
Practice Address - Street 1:152 W 141ST ST APT 5C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-1863
Practice Address - Country:US
Practice Address - Phone:917-207-7598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)