| Lifebulb Llc | |
|
505 Main St Toms River NJ 08753-7443 | |
| (434) 944-7565 | |
| Not Available |
| Full Name | Lifebulb Llc |
|---|---|
| Speciality | Counselor |
| Location | 505 Main St, Toms River, New Jersey |
| Authorized Official Name and Position | Daniel Belcher (OWNER) |
| Authorized Official Contact | 4349447565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebulb Llc 505 Main St Toms River NJ 08753-7443 Ph: (434) 944-7565 | Lifebulb Llc 505 Main St Toms River NJ 08753-7443 Ph: (434) 944-7565 |
| NPI Number | 1699491464 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 2062881162 |
|---|---|
| Medicare Enrollment ID | O20221213000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699491464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Beverly Hopkins Morgan-fullilove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114214327 PECOS PAC ID: 7214182880 Enrollment ID: I20130305000377 |
| Provider Name | Marianne Redmond Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700981412 PECOS PAC ID: 2264673144 Enrollment ID: I20130719000437 |
| Provider Name | Cynthia T Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528388014 PECOS PAC ID: 0749557411 Enrollment ID: I20170531000425 |
| Provider Name | Stacie Kruzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518480706 PECOS PAC ID: 4183072523 Enrollment ID: I20231127001312 |
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