=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386552123
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RUHE WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2026
-----------------------------------------------------
Last Update Date | 09/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22 SHADY LANE RD
-----------------------------------------------------
City | CLARKSBORO
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08020-1324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-223-7723
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22 SHADY LANE RD
-----------------------------------------------------
City | CLARKSBORO
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08020-1324
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 856-223-7723
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PMHNP
-----------------------------------------------------
Name | CHELSEA MINIX
-----------------------------------------------------
Credential | APN
-----------------------------------------------------
Telephone | 856-430-7695
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------