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Organization

CONNECT COUNSELING & WELLNESS, LLC

Active
Other names
Connect Counseling & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TIFFANY KIRA MELONE CPC, CBCS (BILLING MANAGER)
(201) 554-7315
Entity
Organization

Contact information

Practice address
155 COUNTY RD STE 14, CRESSKILL, NJ 07626-2200
(201) 399-7225
(855) 615-8638
Mailing address
155 COUNTY RD STE 14, CRESSKILL, NJ 07626-2200
(201) 788-3122

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
261QM0850X
Adult Mental Health Clinic/Center
44SC05436200
NJ
261QM0855X
Adolescent and Children Mental Health Clinic/Center
44SC05436200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0856291
NJ
01
1W1244
MEDICARE
NJ
01
1W1259
MEDICARE
NJ
01
60525884
HORIZON NJ HEALTH
NJ
01
9246734
AETNA
NJ
Enumeration date
08/13/2018
Last updated
03/03/2023
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