| Launching Change Counseling And Wellness Center Llc | |
|
215 Highland Ave Ste C Haddon Township NJ 08108-2634 | |
| (856) 425-0546 | |
| Not Available |
| Full Name | Launching Change Counseling And Wellness Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 215 Highland Ave Ste C, Haddon Township, New Jersey |
| Authorized Official Name and Position | Kimberly Laverne Tribbett (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8564250546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Launching Change Counseling And Wellness Center Llc 215 Highland Ave Ste C Haddon Township NJ 08108-2634 Ph: (856) 425-0546 | Launching Change Counseling And Wellness Center Llc 215 Highland Ave Ste C Haddon Township NJ 08108-2634 Ph: (856) 425-0546 |
| NPI Number | 1639907256 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 08/10/2024 |
| Certification Date | 08/10/2024 |
| Medicare PECOS PAC ID | 3375053655 |
|---|---|
| Medicare Enrollment ID | O20250606000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639907256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Laverne Tribbett |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508520933 PECOS PAC ID: 1456861731 Enrollment ID: I20250606001591 |
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