# WELLNESS DIRECT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154844009
- **Authorized official:** MRS. LINDA O WINFUL PMHNP-BC (APN)
- **Authorized official phone:** (973) 464-7139

## Contact information

- **Practice address:** 1425 POMPTON AVE, CEDAR GROVE, NJ 07009-1043
- **Practice address phone:** (973) 464-7139
- **Mailing address:** 51 CEDAR AVE, MONTCLAIR, NJ 07042-2446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 26NJ00654700 | NJ | Yes |

## Other

- **Enumeration date:** 07/24/2017
- **Last updated:** 07/24/2017