Healthcare Provider Details

I. General information

NPI: 1750015160
Provider Name (Legal Business Name): EMOTIONAL WEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 BRUNSWICK PIKE
LAWRENCE TOWNSHIP NJ
08648-4134
US

IV. Provider business mailing address

3495 US HIGHWAY 1 STE 34 #1140
PRINCETON NJ
08540
US

V. Phone/Fax

Practice location:
  • Phone: 732-305-0336
  • Fax:
Mailing address:
  • Phone: 732-305-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. TATYANA O SHIELDS
Title or Position: CEO
Credential: LCSW
Phone: 732-305-0335