Millennial Capital Investment LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MILLENNIAL CAPITAL INVESTMENT LLC

Practice address

200 Philadelphia Ave
Egg Harbor City, NJ 08215-1331

Phone

(609) 705-0651

NPI assigned

Dec 27, 2022

Organization subpart

No

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

Authorized official

Name

Dr. La Shonine Gandy-Smith, EDD

Title

Ceo

Phone

(609) 705-0651

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1447963178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ABINGTON CT",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301942",
            "telephone_number": "609-705-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PHILADELPHIA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151331",
            "telephone_number": "609-705-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL CAPITAL INVESTMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "GANDY-SMITH",
        "authorized_official_first_name": "LA SHONINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-705-0651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.