| Journey 2 Grow Therapy Llc | |
|
55 S. Finley Ave. 2nd Fl, Suite B Basking Ridge NJ 07920 | |
| (908) 373-1079 | |
| Not Available |
| Full Name | Journey 2 Grow Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 S. Finley Ave., Basking Ridge, New Jersey |
| Authorized Official Name and Position | Eunice Wonjoo Lee (PSYCHOTHERAPIST) |
| Authorized Official Contact | 7183091999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey 2 Grow Therapy Llc 23 Hampton Ct. Attn: Eunice Lee Basking Ridge NJ 07920 Ph: (718) 309-1999 | Journey 2 Grow Therapy Llc 55 S. Finley Ave. 2nd Fl, Suite B Basking Ridge NJ 07920 Ph: (908) 373-1079 |
| NPI Number | 1821771569 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/04/2023 |
| Medicare PECOS PAC ID | 2163877895 |
|---|---|
| Medicare Enrollment ID | O20231016001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821771569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Eunice Won Joo Lee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942744867 PECOS PAC ID: 3274952239 Enrollment ID: I20200925000043 |
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