Samma Vayama Well-Being, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAMMA VAYAMA WELL-BEING, LLC

Practice address

12 Girard Rd S
Glassboro, NJ 08028-2160

Phone

(856) 381-5641

NPI assigned

Oct 27, 2014

Last updated

Oct 27, 2014By 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

Mr. Andrew John Assini, LCADC, LAC

Title

Owner/Operator

Phone

(856) 381-5641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1700281300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GIRARD RD S",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GIRARD RD S",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282160",
            "telephone_number": "856-381-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMMA VAYAMA WELL-BEING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "ASSINI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "856-381-5641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCADC, LAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Glassboro, 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 Oct 27, 2014; 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.