BEHAVIORAL WELLNESS CONNECTION BE WELL CONNECT (NPI# 1679080469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679080469 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL WELLNESS CONNECTION BE WELL CONNECT |
| Practice Address |
22 Gordon Ave Lawrenceville NJ 08648 |
| Mailing Address |
P.o. 6573 Lawrenceville NJ 08648-6573 |
| Practice Telephone | 6098440452 |
| Practice Fax Number | 6098440518 |
| Mailing Telephone | 6098440452 |
| Mailing Fax Number | 6098440518 |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |
| Authorized Official Name | DR. LIZBETH A. SMITH (OWNER) |
| Authorized Official Telephone | 6098440452 |
| Authorized Official Credential | DRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
25NJ00323400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22 GORDON AVE |
| City | LAWRENCEVILLE |
| State | NJ |
| Zip Code | 08648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396820288 | Village Counseling Services, LLC | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2006-10-26 |
| 1194352278 | Melissa Slappey | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2020-03-26 |
| 1447741871 | Felice Fasano | Counselor | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2018-05-22 |
| 1134634025 | Jennifer L Ditrapani | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648 | 2017-12-13 |
| 1710334909 | Mary C. Puschel, Msw, Lcsw | Social Worker | 22 Gordon Ave, P.o. 6573, Lawrenceville, NJ 08648-6573 | 2016-05-18 |
| 1730552803 | Laura K Gever | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2015-11-11 |
| 1558780007 | Jessica Deutsch | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2014-04-14 |
| 1891122719 | Sari E. Harris | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648 | 2013-10-09 |
| 1851646616 | Village Counseling Services, P.C. | Psychiatry & Neurology | 22 Gordon Ave, Lawrenceville, NJ 08648-6573 | 2012-07-18 |
| 1942598578 | Hilary Herbold | Social Worker | 22 Gordon Ave, Lawrenceville, NJ 08648-1033 | 2011-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1770137226 | Andrew Corato | Specialist/Technologist | Rider Sports Medicine 2083 Lawrenceville Road, Lawrenceville, NJ 08648 | 2019-08-01 |
| 1457832149 | St. Mary's Assisted Living | Assisted Living Facility | One Bishops' Drive, Lawrenceville, NJ 08648 | 2018-08-22 |
| 1255832341 | Alma Garcia | Social Worker | 9 Gordon Avenue, Lawrenceville, NJ 08648 | 2018-02-23 |
| 1548760804 | Lawrence Spine & Wellness Pa | Chiropractor | 558 Lawrence Square Blvd South, Lawrenceville, NJ 08648 | 2018-02-13 |
| 1982134722 | Cindy Johnson | Counselor | 8433 Town Court North, Lawrenceville, NJ 08648 | 2017-06-14 |
| 1306372719 | Adapt Performance and Rehab | Clinic/Center | 1080 Spruce Street, Suite A, Lawrence Township, NJ 08648 | 2017-05-04 |
| 1780123588 | Feliks Shtindler Md PC | Internal Medicine | 3450 Princeton Pike, Suite 120, Lawrenceville, NJ 08648 | 2017-02-14 |
| 1295272995 | Favorite Dentist, LLC | Dentist | 3100 Princeton Pk., Bldg 2 1st Floor, Lawrenceville, NJ 08648 | 2017-01-20 |
| 1508241803 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21302 Cedar Court, Lawrenceville, NJ 08648 | 2015-07-28 |
| Find all providers in zip 08648 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464183 | Lori D. Thornton | Nurse Practitioner | 1672 Weatherbrook Cir, Lawrenceville, GA 30043-4649 | 2020-07-17 |
| 1831735513 | Ifeoma Osijo | Nurse Practitioner | 1803 Great Shoals Cir, Lawrenceville, GA 30045-3781 | 2019-11-18 |
| 1992202774 | Chandria Jones | Nurse Practitioner | 2900 University Pkwy, Lawrenceville, GA 30043-4588 | 2018-04-09 |
| 1235539420 | Ugochi Chiazom Ekemezie | Nurse Practitioner | 2550 Us Highway 1, Lawrenceville, NJ 08609-1821 | 2014-08-26 |
| 1245639541 | Trina Sanders | Nurse Practitioner | 175 Gwinnette Dr, Lawrenceville, GA 30046 | 2014-08-22 |
| 1669081543 | Manifesting Minds, LLC | Nurse Practitioner | 1672 Weatherbrook Cir, Lawrenceville, GA 30043-4649 | 2020-07-28 |
| 1497302046 | Sandra Ann Peterson | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-08-19 |
| 1548728579 | Tara S Lynch | Nurse Practitioner | 311 Gwinnett Dr, Lawrenceville, GA 30046-5671 | 2019-03-08 |
| 1073008983 | Ozidi Associates Inc | Nurse Practitioner | 31 E Darrah Ln, Lawrenceville, NJ 08648 | 2018-06-25 |
| 1861927774 | Shirin Bibayan | Nurse Practitioner | 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | 2017-04-28 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 08648 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.