Healthcare Provider Details

I. General information

NPI: 1235034349
Provider Name (Legal Business Name): NORTH STAR WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900C LAKE STREET SUITE 2
RAMSEY NJ
07446-1335
US

IV. Provider business mailing address

324 HICKORY STREET
TOWNSHIP OF WASHINGTON NJ
07676-5028
US

V. Phone/Fax

Practice location:
  • Phone: 973-460-6463
  • Fax:
Mailing address:
  • Phone: 973-460-6463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARIE CLAIRE FLORENTINO
Title or Position: OWNER
Credential: LPC, LCADC
Phone: 973-460-6463