# ST REMI LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LBN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144583519
- **Legal business name:** LBN
- **Authorized official:** ISIAKA A BOLARINWA (PRESIDENT/ MEDICAL DIRECTOR)
- **Authorized official phone:** (856) 282-5566

## Contact information

- **Practice address:** 822 KLEMM AVE, GLOUCESTER CITY, NJ 08030-1627
- **Practice address phone:** (856) 282-5566
- **Practice address fax:** (856) 396-9917
- **Mailing address:** 822 KLEMM AVE, GLOUCESTER CITY, NJ 08030-1627
- **Mailing address phone:** (856) 282-5566
- **Mailing address fax:** (856) 885-4471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | Yes |
| 2084P0800X | Psychiatry Physician | — | — | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MA072697 | NJ | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | MA072697 | NJ | — |

## Other

- **Enumeration date:** 06/20/2012
- **Last updated:** 02/04/2026