| Mr Behrad Emami, LPC | |
|
1107 Mantua Pike Ste 720, #102, Mantua, NJ 08051 | |
| (000) 000-0000 | |
| Not Available |
| Full Name | Mr Behrad Emami |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1107 Mantua Pike Ste 720, Mantua, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851198816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC018190 (Pennsylvania) | Primary |
| Entity Name | Equilibria Mental Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225792872 PECOS PAC ID: 5698166783 Enrollment ID: O20211228001562 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Behrad Emami, LPC 136 E Roumfort Rd, Philadelphia, PA 19119-1632 Ph: (267) 240-7243 | Mr Behrad Emami, LPC 1107 Mantua Pike Ste 720, #102, Mantua, NJ 08051 Ph: (000) 000-0000 |
David Berg, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 113 Pendragon Way, Mantua, NJ 08051 Phone: 856-332-3003 | |
Timothy Mckenna, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Heather Dr N, Mantua, NJ 08051 Phone: 609-790-4919 | |
Stacey Rettew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Birchwood Ln, Mantua, NJ 08051 Phone: 856-812-5967 | |
Tanya Curran, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1223 Tristram Cir, Mantua, NJ 08051 Phone: 609-230-3223 | |
Mr. Wade Garrett Greenwald, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1107 Mantua Pike Ste 720, Box 102, Mantua, NJ 08051 Phone: 215-435-8392 | |
Jenni Earp, Counselor Medicare: Medicare Enrolled Practice Location: 197 Ash Ave, Mantua, NJ 08051 Phone: 479-276-6487 Fax: 501-653-2257 |