Provider Demographics
NPI:1528955382
Name:NORTH STAR WELLNESS SERVICES
Entity type:Organization
Organization Name:NORTH STAR WELLNESS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LURIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LISW
Authorized Official - Phone:319-930-5104
Mailing Address - Street 1:PO BOX 105
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:IA
Mailing Address - Zip Code:52340-0105
Mailing Address - Country:US
Mailing Address - Phone:319-930-5104
Mailing Address - Fax:
Practice Address - Street 1:543 E GOLDFINCH DR
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:IA
Practice Address - Zip Code:52340-4706
Practice Address - Country:US
Practice Address - Phone:319-930-5104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty