| Mrs Neysa Etienne, LMFT | |
|
9 Fishers Ln, Sparta, NJ 07871-2440 | |
| (973) 726-4533 | |
| Not Available |
| Full Name | Mrs Neysa Etienne |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 9 Fishers Ln, Sparta, 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 |
|---|---|---|---|
| 1104630425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 37F100239500 (New Jersey) | Primary |
| Entity Name | Lakeside Counseling Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578010674 PECOS PAC ID: 0840568754 Enrollment ID: O20170619001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Neysa Etienne, LMFT 45 Wharton Ave, Mine Hill, NJ 07803-2310 Ph: (973) 767-4334 | Mrs Neysa Etienne, LMFT 9 Fishers Ln, Sparta, NJ 07871-2440 Ph: (973) 726-4533 |
Janine Ritchie, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 14 Carpenter Pl, Sparta, NJ 07871 Phone: 646-351-9253 | |
Dr. Charles T Mcneil, D.MIN., ED.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25 Main St, Sparta, NJ 07871 Phone: 201-841-0343 | |
Samantha Hantis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 43 Main St Ste 101, Sparta, NJ 07871 Phone: 201-919-1237 |