| Lemon Wave LLC | |
|
99 Penn Ave Dover NJ 07801-5322 | |
| (973) 298-0783 | |
| Not Available |
| Full Name | Lemon Wave LLC |
|---|---|
| Speciality | Counselor |
| Location | 99 Penn Ave, Dover, New Jersey |
| Authorized Official Name and Position | Nicole Rahul (CLINICAN) |
| Authorized Official Contact | 9732980783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemon Wave LLC 99 Penn Ave Dover NJ 07801-5322 | Lemon Wave LLC 99 Penn Ave Dover NJ 07801-5322 Ph: (973) 298-0783 |
| NPI Number | 1811857071 |
|---|---|
| Provider Enumeration Date | 11/12/2025 |
| Last Update Date | 11/12/2025 |
| Certification Date | 11/12/2025 |
| Medicare PECOS PAC ID | 7012495286 |
|---|---|
| Medicare Enrollment ID | O20260129001701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811857071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
| Provider Name | Nicole Rose Rahul |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336833094 PECOS PAC ID: 0749768919 Enrollment ID: I20260129002015 |
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