Provider Demographics
NPI:1487377255
Name:MAYYA WELLNESS INSTITUTE
Entity type:Organization
Organization Name:MAYYA WELLNESS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOTHERPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MAYYA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEYSHMAKHER
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:732-217-4966
Mailing Address - Street 1:211 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4654
Mailing Address - Country:US
Mailing Address - Phone:732-322-2589
Mailing Address - Fax:
Practice Address - Street 1:101 CRAWFORDS CORNER RD
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1976
Practice Address - Country:US
Practice Address - Phone:732-217-4966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)