Healthcare Provider Details

I. General information

NPI: 1306136874
Provider Name (Legal Business Name): THE POSTPARTUM STRESS & FAMILY WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 07/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 FRIES MILL RD SUITE 201
TURNERSVILLE NJ
08012-2016
US

IV. Provider business mailing address

151 FRIES MILL RD SUITE 201
TURNERSVILLE NJ
08012-2016
US

V. Phone/Fax

Practice location:
  • Phone: 856-745-8847
  • Fax: 856-270-2403
Mailing address:
  • Phone: 856-745-8847
  • Fax: 856-270-2403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional 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: MS. KAREN KLEIMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW, LCSW
Phone: 856-745-8847