Provider Demographics
NPI:1093509317
Name:AQUARIAN PSYCHIATRY AND WELLNESS, LLC
Entity type:Organization
Organization Name:AQUARIAN PSYCHIATRY AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER AND PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WROBLEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:908-521-4648
Mailing Address - Street 1:55 MOUNTAIN BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-2615
Mailing Address - Country:US
Mailing Address - Phone:908-521-4648
Mailing Address - Fax:908-520-4035
Practice Address - Street 1:55 MOUNTAIN BLVD FL 2
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-2615
Practice Address - Country:US
Practice Address - Phone:908-521-4648
Practice Address - Fax:908-520-4035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty