MEDICARE: HEALTH WEALTH INC

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	251S00000X	Community/Behavioral Health Agency	192	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861678245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH WEALTH INC

Provider Business Mailing Address
First Line	:	PO BOX 395
Second Line	:
City	:	DANVILLE
State	:	NH
Zip	:	03819-0395
Country	:	US
Telephone Number	:	603-382-4661
Fax Number	:	603-382-0571

Provider Business Practice Location Address
First Line	:	197 LONG POND RD.
Second Line	:
City	:	DANVILLE
State	:	NH
Zip	:	03819
Country	:	US
Telephone Number	:	603-382-4661
Fax Number	:	603-382-0571

Authorized Official
Title or Position	:	DIRECTOR/COUNSELOR
Name	:	DR. JASON D HOLDER
Credential	:	ED.D., LCMHC
Telephone Number	:	603-382-4661

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	01/15/2008

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Directions to “HEALTH WEALTH INC ” Practice Location

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