| Integral Therapy And Counseling, Llc | |
|
27 S 5th Ave Highland Park NJ 08904-2604 | |
| (201) 367-8915 | |
| Not Available |
| Full Name | Integral Therapy And Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 27 S 5th Ave, Highland Park, New Jersey |
| Authorized Official Name and Position | Brett A Sheldon (OWNER) |
| Authorized Official Contact | 2013678915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Therapy And Counseling, Llc 27 S 5th Ave Highland Park NJ 08904-2604 Ph: (201) 367-8915 | Integral Therapy And Counseling, Llc 27 S 5th Ave Highland Park NJ 08904-2604 Ph: (201) 367-8915 |
| NPI Number | 1073070173 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 7810239464 |
|---|---|
| Medicare Enrollment ID | O20190430002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073070173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brett A Sheldon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427401348 PECOS PAC ID: 2365784915 Enrollment ID: I20190430002351 |
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