| Innereach Counseling Llc | |
|
331 Newman Springs Road Bldg 1, 4th Fl, Suite 143 Red Bank NJ 07701 | |
| (732) 444-8303 | |
| Not Available |
| Full Name | Innereach Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 331 Newman Springs Road, Red Bank, New Jersey |
| Authorized Official Name and Position | Samantha Fox (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 7324448303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innereach Counseling Llc 331 Newman Springs Road Bldg 1, 4th Fl, Suite 143 Red Bank NJ 07701 Ph: (732) 444-8303 | Innereach Counseling Llc 331 Newman Springs Road Bldg 1, 4th Fl, Suite 143 Red Bank NJ 07701 Ph: (732) 444-8303 |
| NPI Number | 1821840315 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/06/2024 |
| Certification Date | 04/06/2024 |
| Medicare PECOS PAC ID | 3678006996 |
|---|---|
| Medicare Enrollment ID | O20241024004295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821840315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Samantha G Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528724986 PECOS PAC ID: 8820434285 Enrollment ID: I20240308000488 |
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