| Lasting Changes, Llc | |
|
152 Wildwood Ave Pitman NJ 08071-1543 | |
| (503) 881-9912 | |
| Not Available |
| Full Name | Lasting Changes, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 152 Wildwood Ave, Pitman, New Jersey |
| Authorized Official Name and Position | Stuart Lynd (OWNER) |
| Authorized Official Contact | 5038819912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasting Changes, Llc 152 Wildwood Ave Pitman NJ 08071-1543 Ph: (503) 881-9912 | Lasting Changes, Llc 152 Wildwood Ave Pitman NJ 08071-1543 Ph: (503) 881-9912 |
| NPI Number | 1043016751 |
|---|---|
| Provider Enumeration Date | 02/22/2025 |
| Last Update Date | 02/22/2025 |
| Certification Date | 02/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043016751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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