| Bryan Hackett Lpc Llc | |
|
705 Greens Ave Apt 9 Long Branch NJ 07740-4923 | |
| (973) 390-8230 | |
| Not Available |
| Full Name | Bryan Hackett Lpc Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 705 Greens Ave Apt 9, Long Branch, New Jersey |
| Authorized Official Name and Position | Bryan Hackett (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9733908230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Hackett Lpc Llc 705 Greens Ave Apt 9 Long Branch NJ 07740-4923 Ph: (973) 390-8230 | Bryan Hackett Lpc Llc 705 Greens Ave Apt 9 Long Branch NJ 07740-4923 Ph: (973) 390-8230 |
| NPI Number | 1326774480 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326774480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Regina M. Doyle, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 S Lincoln Ave, Long Branch, NJ 07740 Phone: 908-489-3786 Fax: 732-263-0633 | |
Dale M Mortenson Lcsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 376 West End Avenue, Suite 48, Long Branch, NJ 07740 Phone: 732-229-6262 Fax: 732-229-1396 | |
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