Organization
ABUNDANT HEALTH FOR RELATIONSHIPS
Active
Organization
ABUNDANT HEALTH FOR RELATIONSHIPS
Active
Other names
Abundant Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN HOLLAND MYERS LCSW (OWNER)
(856) 234-0843
Entity
Organization
Contact information
Practice address
319 CHESTNUT ST, MOORESTOWN, NJ 08057-3613
(856) 234-0843
(856) 234-0843
Mailing address
319 CHESTNUT ST, MOORESTOWN, NJ 08057-3613
(856) 234-0843
(856) 234-0843
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04606700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166802
MEDICARE PTAN #
NJ
01
—
598155000
MAGELLAN BEHAVIORAL HEALTH
NJ
Enumeration date
10/22/2010
Last updated
10/22/2010
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