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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