Provider Demographics
NPI:1871923557
Name:WAYNE WELNESS
Entity type:Organization
Organization Name:WAYNE WELNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLE
Authorized Official - Middle Name:MURRAY
Authorized Official - Last Name:KAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-628-8850
Mailing Address - Street 1:8 ROBIN HOOD WAY
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5428
Mailing Address - Country:US
Mailing Address - Phone:973-628-8850
Mailing Address - Fax:
Practice Address - Street 1:8 ROBIN HOOD WAY
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5428
Practice Address - Country:US
Practice Address - Phone:973-628-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty