Organization
HOPEFUL HORIZON WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISSA NICKSON LCSW (OWNER)
(732) 749-4267
Entity
Organization
Contact information
Practice address
3 3RD ST STE 20, BORDENTOWN, NJ 08505-1370
(732) 749-4267
Mailing address
3495 US HWY 1 STE 34 #1166, #1166, PRINCETON, NJ 08540
(732) 749-4267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/06/2023
Last updated
08/01/2023
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