# COLLECTIVE WELLNESS SERVICES LTD

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

## Provider details

- **NPI number:** 1770214900
- **Authorized official:** MRS. SANDRA M GOMEZ PMHNP-BC (APN)
- **Authorized official phone:** (973) 339-7021

## Contact information

- **Practice address:** 1253 SPRINGFIELD AVE STE 340, NEW PROVIDENCE, NJ 07974-2931
- **Practice address phone:** (973) 339-7021
- **Practice address fax:** (973) 370-3355
- **Mailing address:** 1253 SPRINGFIELD AVE STE 340, NEW PROVIDENCE, NJ 07974-2931
- **Mailing address phone:** (973) 339-7021
- **Mailing address fax:** (973) 370-3355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/20/2022
- **Last updated:** 02/06/2023