| Intherapy Institute Llc | |
|
80 River St Ste 3e1 Hoboken NJ 07030-5626 | |
| (201) 677-5242 | |
| Not Available |
| Full Name | Intherapy Institute Llc |
|---|---|
| Speciality | Psychologist |
| Location | 80 River St Ste 3e1, Hoboken, New Jersey |
| Authorized Official Name and Position | Konstantin Lukin (FOUNDER-DIRECTOR-PSYCHOLOGIST) |
| Authorized Official Contact | 2014090391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intherapy Institute Llc 80 River St Ste 3e1 Hoboken NJ 07030-5626 Ph: (201) 677-5242 | Intherapy Institute Llc 80 River St Ste 3e1 Hoboken NJ 07030-5626 Ph: (201) 677-5242 |
| NPI Number | 1235944596 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 05/27/2025 |
| Certification Date | 05/27/2025 |
| Medicare PECOS PAC ID | 4486163870 |
|---|---|
| Medicare Enrollment ID | O20250605002251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235944596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Autumn Horn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861123820 PECOS PAC ID: 8224400106 Enrollment ID: I20250605002329 |
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