| Advanced Learning & Ddb Productions | |
|
152 Speedwell Ave Morristown NJ 07960-8816 | |
| (973) 400-9794 | |
| (973) 695-1465 |
| Full Name | Advanced Learning & Ddb Productions |
|---|---|
| Speciality | Clinic/Center |
| Location | 152 Speedwell Ave, Morristown, New Jersey |
| Authorized Official Name and Position | Darsi D Beauchamp (MANAGING MEMBER) |
| Authorized Official Contact | 9734009794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Learning & Ddb Productions 152 Speedwell Ave Morristown NJ 07960-8816 Ph: (973) 400-9794 | Advanced Learning & Ddb Productions 152 Speedwell Ave Morristown NJ 07960-8816 Ph: (973) 400-9794 |
| NPI Number | 1083224398 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Medicare PECOS PAC ID | 5597143123 |
|---|---|
| Medicare Enrollment ID | O20220609001625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083224398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Menashe East |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114509288 PECOS PAC ID: 8426453275 Enrollment ID: I20220621001960 |
| Provider Name | Darsi D Beauchamp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659803492 PECOS PAC ID: 9234518341 Enrollment ID: I20240704000718 |
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