| Healing Grounds Wellness Center, Llc | |
|
12 Kelly Dr Columbus NJ 08022-2330 | |
| (609) 431-0600 | |
| Not Available |
| Full Name | Healing Grounds Wellness Center, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12 Kelly Dr, Columbus, New Jersey |
| Authorized Official Name and Position | Zachyra Scott-rodriguez (OWNER) |
| Authorized Official Contact | 6094310600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Grounds Wellness Center, Llc 12 Kelly Dr Columbus NJ 08022-2330 Ph: (609) 431-0600 | Healing Grounds Wellness Center, Llc 12 Kelly Dr Columbus NJ 08022-2330 Ph: (609) 431-0600 |
| NPI Number | 1013686997 |
|---|---|
| Provider Enumeration Date | 09/13/2021 |
| Last Update Date | 09/13/2021 |
| Certification Date | 09/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013686997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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