Provider Demographics
NPI:1588172498
Name:DEVELOPING WELLNESS THERAPY GROUP
Entity type:Organization
Organization Name:DEVELOPING WELLNESS THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIWIEC
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC, NCC, ACS
Authorized Official - Phone:732-451-4944
Mailing Address - Street 1:321 HERBERTSVILLE RD FL 1
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-1880
Mailing Address - Country:US
Mailing Address - Phone:732-451-4944
Mailing Address - Fax:
Practice Address - Street 1:321 HERBERTSVILLE RD STE 101
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-1713
Practice Address - Country:US
Practice Address - Phone:732-202-9200
Practice Address - Fax:732-202-9201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty