HEALING GARDEN PSYCHIATRIC SERVICES PLLC NPI 1730890633

NPI Information

NPI: 1730890633
Provider Name: HEALING GARDEN PSYCHIATRIC SERVICES PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
653 W EDGAR RD # 1162
LINDEN, NJ
ZIP 07036
Phone: (848) 289-1892
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HEALING GARDEN PSYCHIATRIC SERVICES PLLC is a psychiatric/mental health nurse practitioner in Linden, NJ. HEALING GARDEN PSYCHIATRIC SERVICES PLLC NPI is 1730890633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

653 W EDGAR RD # 1162
LINDEN, NJ
ZIP 07036-574
Phone: (848) 289-1892

The provider's authorized official is Ololade Ekwere .
The authorized official title is Owner and has the following contact phone number (848) 289-1892.

The enumeration date for this NPI number is 12/12/2022 and was last updated on 12/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1871929885	OTHER		NPI INDIVIDUAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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