EPIPHANY WELLNESS NPI 1053088336

NPI Information

  • NPI: 1053088336
  • Provider Name: EPIPHANY WELLNESS
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 31D2245686
  • Address: 461 ROUTE 168
    BLACKWOOD, NJ
    ZIP 08012
  • Phone: (215) 526-8093

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NPI Details

EPIPHANY WELLNESS is a rehabilitation and substance use disorder clinic center in Blackwood, NJ. EPIPHANY WELLNESS NPI is 1053088336. The provider is registered as an organization entity type.

The provider's business location address is:

461 ROUTE 168
BLACKWOOD, NJ
ZIP 08012-457
Phone: (215) 526-8093

The provider's authorized official is Shawn Mcbrien .
The authorized official title is Co Founder/coo and has the following contact phone number (215) 526-8093.

The CLIA number assigned to this NPI record is 31D2245686 - other - substance abuse outpatien with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/25/2021 and was last updated on 8/25/2021.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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: 3/30/2025

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