Self Healing and Wellness, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SELF HEALING AND WELLNESS, LLC

Practice address

305 Sugar Bush CT
Mullica Hill, NJ 08062-9509

Phone

(931) 220-4197

Fax

(949) 695-4713

NPI assigned

Jun 7, 2024

Last updated

Oct 15, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melanie Evans, LPCNPI 1932875382

Title

Owner/Therapist

Phone

(931) 220-4197

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Evans, LCPC

  • Professional Counselor
  • Frederick, MD
  • NPI 1932875382
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1235971573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SUGAR BUSH CT",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629509",
            "telephone_number": "931-220-4197",
            "fax_number": "949-695-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 SUGAR BUSH CT",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629509",
            "telephone_number": "931-220-4197",
            "fax_number": "949-695-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF HEALING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "931-220-4197",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Bernard Schwartz, RD
• Nicole Anne Scivoletti-Polan, D.O.
• Matthew Scolpino
• Marlon S Scott, NP-C
• Steven Parmanand Seegobin, DO
• Senacare, LLC
• Jeel Shah
• Kinjal Shah
• Lisa Shah, DO
• Rani Yashodhar Shah, MD

• Professional Counselor in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.