MEDICARE: GARDEN COUNSELING 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1518757509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARDEN COUNSELING AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	445 MOUNT KEMBLE AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6211
Country	:	US
Telephone Number	:	973-919-9791
Fax Number	:

Provider Business Practice Location Address
First Line	:	445 MOUNT KEMBLE AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6211
Country	:	US
Telephone Number	:	973-919-9791
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL SOCIAL WORKER
Name	:	CATHERINE CAMISA
Credential	:	44SC06326200
Telephone Number	:	973-919-9791

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	05/12/2025

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