Healthcare Provider Details

I. General information

NPI: 1386433472
Provider Name (Legal Business Name): AIRE HOLISTIC MENTAL HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

918 LACEY RD STE E
FORKED RIVER NJ
08731-1063
US

IV. Provider business mailing address

918 LACEY RD STE E
FORKED RIVER NJ
08731-1063
US

V. Phone/Fax

Practice location:
  • Phone: 609-286-7323
  • Fax: 855-550-8692
Mailing address:
  • Phone: 609-286-7323
  • Fax: 855-550-8692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. RAQUEL LAMBERT
Title or Position: OWNER
Credential: MSN, APN, PMHNP-BC
Phone: 609-286-7323