Provider Demographics
NPI:1346044302
Name:INTERBEING WELLNESS LCSW PLLC
Entity type:Organization
Organization Name:INTERBEING WELLNESS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-813-6903
Mailing Address - Street 1:54 N COUNTRY RD STE 4C
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-1446
Mailing Address - Country:US
Mailing Address - Phone:934-235-5642
Mailing Address - Fax:
Practice Address - Street 1:54 N COUNTRY RD STE 4C
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764-1446
Practice Address - Country:US
Practice Address - Phone:934-235-5642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty