Organization
INTERWEAVE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH JOHN GROSSO MA, LPC, ATR (OWNER)
(609) 941-4292
Entity
Organization
Contact information
Practice address
6 COVENGER CT, MEDFORD, NJ 08055-9171
(856) 581-8574
Mailing address
6 COVENGER CT, MEDFORD, NJ 08055-9171
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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