MEDICARE: AIRE HOLISTIC MENTAL HEALTH AND WELLNESS 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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1386433472
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIRE HOLISTIC MENTAL HEALTH AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	918 LACEY RD STE E
Second Line	:
City	:	FORKED RIVER
State	:	NJ
Zip	:	08731-1063
Country	:	US
Telephone Number	:	609-286-7323
Fax Number	:	855-550-8692

Provider Business Practice Location Address
First Line	:	918 LACEY RD STE E
Second Line	:
City	:	FORKED RIVER
State	:	NJ
Zip	:	08731-1063
Country	:	US
Telephone Number	:	609-286-7323
Fax Number	:	855-550-8692

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. RAQUEL LAMBERT
Credential	:	MSN, APN, PMHNP-BC
Telephone Number	:	609-286-7323

Provider Enumeration Date	:	05/05/2025
Last Update Date	:	01/02/2026

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