| Ms Tara Ely, LPC | |
|
23 Church St, Denville, NJ 07834-2102 | |
| (973) 229-3198 | |
| Not Available |
| Full Name | Ms Tara Ely |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 23 Church St, Denville, 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 |
|---|---|---|---|
| 1619380342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00363300 (New Jersey) | Primary |
| Entity Name | New Jersey Behavioral Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara Ely, LPC 23 Church St, Denville, NJ 07834-2102 Ph: (973) 229-3198 | Ms Tara Ely, LPC 23 Church St, Denville, NJ 07834-2102 Ph: (973) 229-3198 |
Jennifer Lynn Douglas-kruk, MA, LPC, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Morris Ave, Denville, NJ 07834 Phone: 973-625-7130 | |
Miss Karen Donofrio, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Pocono Rd, Denville, NJ 07834 Phone: 973-625-0096 Fax: 973-625-0123 | |
Christine G Maier, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 92 Broadway Ste 204, Denville, NJ 07834 Phone: 973-229-9136 | |
Mr. Gerard A Lamorte Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Morris Ave, Denville, NJ 07834 Phone: 973-625-7010 | |
Ms. Elizabeth Arboleda, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Morris Ave, Denville, NJ 07834 Phone: 973-625-7088 Fax: 973-625-7128 | |
Mrs. Tinamarie Marciano, LCSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Diamond Spring Rd Ste 8, Denville, NJ 07834 Phone: 973-452-3900 | |
Sean Cullen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Pocono Rd, Psychiatric Emergency Services, Denville, NJ 07834 Phone: 973-625-6150 |