Organization
OMEGA WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALLISON CARDULLO (COO)
(973) 506-6645
Entity
Organization
Contact information
Practice address
81 WARWICK TPKE, HEWITT, NJ 07421-2816
(973) 506-6645
Mailing address
81 WARWICK TPKE, HEWITT, NJ 07421-2816
(973) 506-6645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
175F00000X
Naturopath
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144772666
INDIVIDUAL NPI - LEONARD PIKAARD
NJ
01
—
1376957761
INDIVIDUAL NPI -JOSEPH SIRAGUSA
NJ
01
—
1609497080
INDIVIDUAL NPI - MELISSA SIRAGUSA
NJ
Enumeration date
05/19/2020
Last updated
05/19/2020
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