Self and Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SELF AND WELLNESS, LLC

Practice address

5 Greentree Centre
Suite 104
Marlton, NJ 08053

Phone

(914) 361-5991

NPI assigned

Jul 2, 2024

Last updated

Jul 2, 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

Jessica Balmir, LMFTNPI 1548794381

Title

Director/Therapist

Phone

(914) 562-9688

Specialties & licenses 1

Addresses

Locations

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.

• Jessica Balmir, LMFT

  • Marriage & Family Therapist
  • Pleasantville, NY
  • NPI 1548794381
  NPD Authorized official

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1790521391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 SAINT CLOUD AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522517",
            "telephone_number": "914-562-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 GREENTREE CENTRE",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "914-361-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "BALMIR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "914-562-9688",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Courtney M Seidenberg, MSN, APN, PMHNP-BC
• Shiri H Sella, PSYD
• Senior Care Centers of America, Inc. (Active Day of Marlton)
• Sensational Kids
• Nicole Serafine, MA CCC-SLP
• Olivia Rose Serritella

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.