| The 12th House Wellness | |
|
220 Paul Dr Moorestown NJ 08057-3514 | |
| (856) 912-1051 | |
| Not Available |
| Full Name | The 12th House Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 220 Paul Dr, Moorestown, New Jersey |
| Authorized Official Name and Position | Julia Katz (PMHNP/COO) |
| Authorized Official Contact | 8569121051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The 12th House Wellness 220 Paul Dr Moorestown NJ 08057-3514 Ph: (856) 912-1051 | The 12th House Wellness 220 Paul Dr Moorestown NJ 08057-3514 Ph: (856) 912-1051 |
| NPI Number | 1952191546 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Certification Date | 05/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952191546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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