Healthcare Provider Details

I. General information

NPI: 1346025376
Provider Name (Legal Business Name): TURN LEAF WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 MILLBURN AVE
SPRINGFIELD NJ
07081-1039
US

IV. Provider business mailing address

15 SADDLE RIDGE RD
SPARTA NJ
07871-3224
US

V. Phone/Fax

Practice location:
  • Phone: 973-271-7194
  • Fax:
Mailing address:
  • Phone: 973-271-7194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE K ZEMAN
Title or Position: FOUNDER/CEO
Credential: PHD, LCSW, LCADC
Phone: 973-271-7194