Provider Demographics
NPI:1245025204
Name:WELLNESS MATTERS MSM LLC
Entity type:Organization
Organization Name:WELLNESS MATTERS MSM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA MERA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-860-9358
Mailing Address - Street 1:258 CENTER LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1025
Mailing Address - Country:US
Mailing Address - Phone:516-860-9358
Mailing Address - Fax:
Practice Address - Street 1:258 CENTER LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1025
Practice Address - Country:US
Practice Address - Phone:516-860-9358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty