SHOOT FOR THE MOON COUNSELING LLC NPI 1912411158

NPI Information

NPI: 1912411158
Provider Name: SHOOT FOR THE MOON COUNSELING LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
342 GREENBRIAR DR UNIT 3
UNION, NJ
ZIP 07083
Phone: (908) 448-6370
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SHOOT FOR THE MOON COUNSELING LLC is a mental health (including community mental health center) clinic center in Union, NJ. SHOOT FOR THE MOON COUNSELING LLC NPI is 1912411158. The provider is registered as an organization entity type.

The provider's business location address is:

342 GREENBRIAR DR UNIT 3
UNION, NJ
ZIP 07083-769
Phone: (908) 448-6370

The provider's authorized official is Heather Hanley .
The authorized official title is License Professional Counselor and has the following contact phone number (908) 448-6370.

The enumeration date for this NPI number is 11/27/2017 and was last updated on 11/27/2017.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	37PC00587100	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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