RECOVERY & WELLNESS CENTER LLC. NPI 1003473646

NPI Information

  • NPI: 1003473646
  • Provider Name: RECOVERY & WELLNESS CENTER, LLC.
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 218 LORRAINE AVE
    MONTCLAIR, NJ
    ZIP 07043
  • Phone: (917) 751-8700

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NPI Details

RECOVERY & WELLNESS CENTER, LLC. is a psychiatric/mental health nurse practitioner in Montclair, NJ. RECOVERY & WELLNESS CENTER, LLC. NPI is 1003473646. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

218 LORRAINE AVE
MONTCLAIR, NJ
ZIP 07043-915
Phone: (917) 751-8700

The provider's authorized official is Diane Decarolis .
The authorized official title is Owner and has the following contact phone number (917) 751-8700.

The enumeration date for this NPI number is 5/20/2019 and was last updated on 5/20/2019.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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