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Organization
REST ASSURED MENTAL HEALTH WELLNESS LLC
Active
Organization
REST ASSURED MENTAL HEALTH WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE WALLACE NP (OWNER)
(973) 362-2091
Entity
Organization
Contact information
Practice address
259 BALDWIN RD STE 203C, PARSIPPANY, NJ 07054-7505
(973) 362-2091
Mailing address
47 AVENUE I, MONROE, NJ 08831-2144
(973) 362-2091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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