Organization
INNER WELLNESS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER RERNGSAMAI LCSW (PROVIDER/OWNER)
(732) 598-6396
Entity
Organization
Contact information
Practice address
180 TICES LN STE 104, EAST BRUNSWICK, NJ 08816-1345
(732) 598-6396
(732) 548-5859
Mailing address
180 SUNSET AVE, OLD BRIDGE, NJ 08857-1255
(732) 598-6396
(732) 548-5859
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/30/2020
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