Behavioral Wellness Connection Be Well Connect
Nurse Practitioner, Psych/Mental Health in Lawrenceville, NJ. Organization (NPI-2).
NPI number1679080469
StatusActive
Last updated in NPPESJan 3, 2018
Details
- NPI
- 1679080469
- Entity type
- Organization (NPI-2)
- Legal business name
- Behavioral Wellness Connection Be Well Connect
- Organization subpart
- No
- Enumeration date
- Jan 3, 2018
- Last updated
- Jan 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 25NJ00323400 | NJ | Yes |
Practice location
22 Gordon AveLawrenceville, NJ 08648
Phone 609-844-0452 · Fax 609-844-0518
Mailing address
P.O. 6573Lawrenceville, NJ 08648-6573
Phone 609-844-0452 · Fax 609-844-0518
Authorized official
Lizbeth A. Smith
Owner
6098440452
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