Provider Demographics
NPI:1770101651
Name:SEEDS OF CHANGE HEALTH & WELLNESS COACHING, LLC
Entity type:Organization
Organization Name:SEEDS OF CHANGE HEALTH & WELLNESS COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAFFA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:732-859-6962
Mailing Address - Street 1:6 THREE PENCE LN
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2256
Mailing Address - Country:US
Mailing Address - Phone:732-859-6962
Mailing Address - Fax:732-751-4412
Practice Address - Street 1:6 THREE PENCE LN
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2256
Practice Address - Country:US
Practice Address - Phone:732-859-6962
Practice Address - Fax:732-751-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2020-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty