| Breakthrough Counseling And Behavioral Health, Llc | |
|
1 Nalbone Ct Trenton NJ 08620-9777 | |
| (609) 353-6112 | |
| Not Available |
| Full Name | Breakthrough Counseling And Behavioral Health, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1 Nalbone Ct, Trenton, New Jersey |
| Authorized Official Name and Position | Gerilyn Suschke (OWNER) |
| Authorized Official Contact | 6093536112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakthrough Counseling And Behavioral Health, Llc 1 Nalbone Ct Trenton NJ 08620-9777 Ph: (609) 353-6112 | Breakthrough Counseling And Behavioral Health, Llc 1 Nalbone Ct Trenton NJ 08620-9777 Ph: (609) 353-6112 |
| NPI Number | 1114639655 |
|---|---|
| Provider Enumeration Date | 12/15/2022 |
| Last Update Date | 12/15/2022 |
| Certification Date | 12/15/2022 |
| Medicare PECOS PAC ID | 5294170197 |
|---|---|
| Medicare Enrollment ID | O20240306001014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114639655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Gerilyn Suschke |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1285762757 PECOS PAC ID: 8224473137 Enrollment ID: I20240306001670 |
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