Organization
BEACON OF WELLNESS, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADINAH LYNN BROWN-DAY LCSW (EXECUTIVE DIRECTOR)
(609) 784-4682
Entity
Organization
Contact information
Practice address
40 W LAFAYETTE ST, TRENTON, NJ 08608-2011
(609) 784-4682
(609) 699-6744
Mailing address
1636-44 ROUTE 38, BEACON OF WELLNESS, INC., #334, LUMBERTON, NJ 08048
(609) 784-4682
(609) 699-6744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SL05979800
NJ
251S00000X
Community/Behavioral Health Agency
Primary
44SC05349200
NJ
251S00000X
Community/Behavioral Health Agency
44SL06288800
NJ
251S00000X
Community/Behavioral Health Agency
44SL06293100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0509060
—
NJ
01
—
1629476692
INDIVIDUAL NPI # FOR MADINAH BROWN-DAY
NJ
Enumeration date
08/21/2017
Last updated
08/21/2017
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