MEDICARE: HAPPY MIND HEALTH AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1700749686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY MIND HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	1620 US HIGHWAY 22 E STE 205E
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-3411
Country	:	US
Telephone Number	:	908-743-8309
Fax Number	:	949-785-9348

Provider Business Practice Location Address
First Line	:	1620 US HIGHWAY 22 E STE 205E
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-3411
Country	:	US
Telephone Number	:	908-743-8309
Fax Number	:	949-785-9348

Authorized Official
Title or Position	:	OWNER
Name	:	HAPPINESS CHINYEAKA ILECHUKWU
Credential	:	MSN, APN, PMHNP-BC
Telephone Number	:	908-743-8309

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	04/08/2026

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