| Stephanie Rose Koeller, LMFT | |
|
440 Franklin St Ste 200, Bloomfield, NJ 07003-4379 | |
| (973) 746-0800 | |
| Not Available |
| Full Name | Stephanie Rose Koeller |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 440 Franklin St Ste 200, Bloomfield, 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 |
|---|---|---|---|
| 1437748639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 37F100215200 (New Jersey) | Primary |
| Entity Name | Family Service League Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881855542 PECOS PAC ID: 4981659034 Enrollment ID: O20050322000400 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Rose Koeller, LMFT 620 Winsor St, Bound Brook, NJ 08805-1752 Ph: (908) 239-1086 | Stephanie Rose Koeller, LMFT 440 Franklin St Ste 200, Bloomfield, NJ 07003-4379 Ph: (973) 746-0800 |
Eden D Farnum, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 242 Davey St Apt A, Bloomfield, NJ 07003 Phone: 973-842-1613 | |
Susana Diaz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1012 Broad St, Bloomfield, NJ 07003 Phone: 973-338-1244 Fax: 973-338-1544 | |
Shara A Rondon, MA, LAC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 650 Bloomfield Ave Ste 106, Bloomfield, NJ 07003 Phone: 201-265-8200 | |
Emelyn Vargas, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25-27 West Street, Bloomfield, NJ 07003 Phone: 412-443-9042 | |
Irene Rubinson Sullivan, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 440 Franklin St, Bloomfield, NJ 07003 Phone: 973-746-0800 | |
Gabriella Resende, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 440 Franklin St, Bloomfield, NJ 07003 Phone: 973-746-0800 |