| Elevated Integrative Therapy Llc | |
|
19 Dawn Dr Port Reading NJ 07064-1403 | |
| (571) 357-3722 | |
| (201) 648-2707 |
| Full Name | Elevated Integrative Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 19 Dawn Dr, Port Reading, New Jersey |
| Authorized Official Name and Position | Sandy Amin (COUNSELOR/OWNER) |
| Authorized Official Contact | 5713573722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Integrative Therapy Llc 19 Dawn Dr Port Reading NJ 07064-1403 Ph: (571) 357-3722 | Elevated Integrative Therapy Llc 19 Dawn Dr Port Reading NJ 07064-1403 Ph: (571) 357-3722 |
| NPI Number | 1730923756 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 5092259127 |
|---|---|
| Medicare Enrollment ID | O20240701001900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730923756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandy Amin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417700030 PECOS PAC ID: 6901340033 Enrollment ID: I20240702000092 |
Riley Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 A St, Port Reading, NJ 07064 Phone: 718-551-5662 |