Seawolf Yoga LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SEAWOLF YOGA LLC

Practice address

222 New Rd. Suite 405 Central Park East
Linwood, NJ 08221

Phone

(609) 377-8118

Fax

(609) 377-8120

NPI assigned

Oct 18, 2018

Organization subpart

Yes

Parent organization

SEAWOLF YOGA LLCAs reported in NPPES

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

Authorized official

Name

Mr. Allen Joseph Wolf II, LPC

Title

Owner

Phone

(609) 703-2810

Specialties & licenses 1

Addresses

Part of

Seawolf Yoga LLC

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1437625381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 N. CAMBRIDGE AVE",
            "city": "VENTOR CITY",
            "state": "NJ",
            "postal_code": "084061753",
            "telephone_number": "609-703-2810",
            "fax_number": "609-377-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD. SUITE 405 CENTRAL PARK EAST",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "08221",
            "telephone_number": "609-377-8118",
            "fax_number": "609-377-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAWOLF YOGA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEAWOLF YOGA LLC",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-703-2810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Linwood, NJ
• Providers in Linwood, 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 18, 2018; 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.