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SPECIALIZED THERAPY ASSOCIATES LLC NPI 1467798157


NPI Information

NPI: 1467798157
Provider Name: SPECIALIZED THERAPY ASSOCIATES LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
83 SUMMIT AVE
2ND FLOOR
HACKENSACK, NJ
ZIP 07601
Phone: (201) 488-6678
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SPECIALIZED THERAPY ASSOCIATES LLC is a counselor in Hackensack, NJ. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SPECIALIZED THERAPY ASSOCIATES LLC NPI is 1467798157. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

83 SUMMIT AVE
2ND FLOOR
HACKENSACK, NJ
ZIP 07601-262
Phone: (201) 488-6678
Fax: (201) 342-4346

The provider's authorized official is Vanessa Gourdine .
The authorized official title is Director and has the following contact phone number (201) 488-6678.

The enumeration date for this NPI number is 12/27/2012 and was last updated on 12/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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