MEDICARE: LIMITLESS WELLNESS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1093307365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMITLESS WELLNESS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	576 VALLEY RD # 263
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-3526
Country	:	US
Telephone Number	:	973-652-4753
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 BARNERT AVE
Second Line	:
City	:	TOTOWA
State	:	NJ
Zip	:	07512-1640
Country	:	US
Telephone Number	:	973-652-4753
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LPC
Name	:	NADIA HASSAN
Credential	:	LPC
Telephone Number	:	973-692-6293

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	04/15/2021

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