Organization · NPI-2

Agnello Therapy Group, L.L.C.

Counselor, Professional · Livingston, NJ

NPI number1902464043
StatusActive
Last updated in NPPESMay 27, 2023

Details

NPI
1902464043
Entity type
Organization (NPI-2)
Legal business name
Agnello Therapy Group, L.L.C.
Organization subpart
No
Enumeration date
Jun 4, 2019
Certification date
May 27, 2023
Last updated
May 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes
101YM0800X Counselor, Mental Health––

Practice location

107 E Mount Pleasant Ave Ste 8
Livingston, NJ 07039-3038

Phone 973-476-6371

Mailing address

33 Cambridge Ave
Denville, NJ 07834-9675

Phone 973-476-6371

Authorized official

Kristen Justine Agnello
Owner/Director
9734766371

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Professional providers in Livingston, NJ