Stages Of Healing- Plenitud De Vida Counseling Center
Clinic/Center, Mental Health (Including Community Mental Health Center) in Teaneck, NJ. Organization (NPI-2).
NPI number1982118386
StatusActive
Last updated in NPPESNov 21, 2017
Details
- NPI
- 1982118386
- Entity type
- Organization (NPI-2)
- Legal business name
- Stages Of Healing- Plenitud De Vida Counseling Center
- Organization subpart
- No
- Enumeration date
- Nov 21, 2017
- Last updated
- Nov 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
121 Cedar Ln Ste 2bTeaneck, NJ 07666-4457
Phone 551-800-4252
Mailing address
163 Prospect AveDumont, NJ 07628-2731
Phone 201-673-7592
Authorized official
Elizabeth Escobar
Licensed Clinical Social Worker
5518004252
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