# OPTWELL HEALTH SERVICES

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

## Provider details

- **NPI number:** 1508615451
- **Authorized official:** KATHLEEN POWELL (APN)
- **Authorized official phone:** (856) 304-4767

## Contact information

- **Practice address:** 2 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1294
- **Practice address phone:** (856) 304-4767
- **Mailing address:** 233 WASHINGTON TER, AUDUBON, NJ 08106-1627
- **Mailing address phone:** (856) 304-4767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2024
- **Last updated:** 05/30/2024