Healthcare Provider Details

I. General information

NPI: 1861678245
Provider Name (Legal Business Name): HEALTH WEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2008
Last Update Date: 01/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

197 LONG POND RD.
DANVILLE NH
03819
US

IV. Provider business mailing address

PO BOX 395
DANVILLE NH
03819-0395
US

V. Phone/Fax

Practice location:
  • Phone: 603-382-4661
  • Fax: 603-382-0571
Mailing address:
  • Phone: 603-382-4661
  • Fax: 603-382-0571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number192
License Number StateNH

VIII. Authorized Official

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