# HEALTH AND WELLNESS BEHAVIORAL SERVICES

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

## Provider details

- **NPI number:** 1871364851
- **Authorized official:** OSAGIE MARY (OWNER/APN)
- **Authorized official phone:** (201) 957-1119

## Contact information

- **Practice address:** 134 EVERGREEN PL STE 503, EAST ORANGE, NJ 07018-2010
- **Practice address phone:** (201) 957-1119
- **Practice address fax:** (201) 367-2438
- **Mailing address:** 236 CLAIRMONT TER, ORANGE, NJ 07050-3144
- **Mailing address phone:** (201) 957-1119

## 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:** 01/10/2024
- **Last updated:** 08/10/2024