Allied Mental Health Services, LLC
Early Intervention Provider Agency in Newark, NJ. Organization (NPI-2).
NPI number1932505138
StatusActive
Last updated in NPPESNov 15, 2014
Details
- NPI
- 1932505138
- Entity type
- Organization (NPI-2)
- Legal business name
- Allied Mental Health Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2014
- Last updated
- Nov 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | 37PC00510200 | NJ | Yes |
| 251S00000X | Community/Behavioral Health | 37PC00510200 | NJ | |
| 252Y00000X | Early Intervention Provider Agency | MH11779 | FL | |
| 251S00000X | Community/Behavioral Health | MH 11779 | FL |
Practice location
40 Clinton StSte L
Newark, NJ 07102-9713
Phone 917-364-3785
Mailing address
1331 Airport DrG17
Tallahassee, FL 32304-4775
Phone 917-364-3785
Authorized official
Stephanie Lynn Fleming
Clinical Therapist
9173643785
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