| Delta Therapy Llc | |
|
75 State Route 15 Unit G5 Lafayette NJ 07848-3208 | |
| (973) 862-8725 | |
| Not Available |
| Full Name | Delta Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 75 State Route 15 Unit G5, Lafayette, New Jersey |
| Authorized Official Name and Position | Tasha Defelice (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9738628725 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Therapy Llc 164 Lake Iliff Rd Newton NJ 07860-9703 Ph: () - | Delta Therapy Llc 75 State Route 15 Unit G5 Lafayette NJ 07848-3208 Ph: (973) 862-8725 |
| NPI Number | 1902628928 |
|---|---|
| Provider Enumeration Date | 10/30/2024 |
| Last Update Date | 02/12/2025 |
| Certification Date | 01/24/2025 |
| Medicare PECOS PAC ID | 4486179009 |
|---|---|
| Medicare Enrollment ID | O20250416001533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902628928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lydia Buchalski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811475650 PECOS PAC ID: 6305181843 Enrollment ID: I20190102002670 |
| Provider Name | Kristin Whitehouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053928549 PECOS PAC ID: 8123482098 Enrollment ID: I20230911002499 |
| Provider Name | Tasha Defelice |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174117618 PECOS PAC ID: 9830614452 Enrollment ID: I20250416001892 |
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