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Organization
REVITALIZING REMEDIES LLC
Active
Organization
REVITALIZING REMEDIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIORELLA PARADISI APN (OWNER/CLINICIAN PROVIDER)
(201) 727-3241
Entity
Organization
Contact information
Practice address
52 NEWTON SPARTA RD STE 1, ANDOVER, NJ 07860-2723
(201) 727-3241
(201) 727-3241
Mailing address
52 NEWTON SPARTA RD, NEWTON, NJ 07860-2723
(201) 727-3241
(201) 727-3241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
246RP1900X
Phlebotomy Technician
—
NULL
246RP1900X
Phlebotomy Technician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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