| Lifetouch Behavioral Health, Llc | |
|
28 Pioneer Ct Ewing NJ 08628-3604 | |
| (732) 514-2150 | |
| (732) 960-2323 |
| Full Name | Lifetouch Behavioral Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 28 Pioneer Ct, Ewing, New Jersey |
| Authorized Official Name and Position | Ijeoma Okeke (OWNER/DNP) |
| Authorized Official Contact | 7325142150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetouch Behavioral Health, Llc 28 Pioneer Ct Ewing NJ 08628-3604 Ph: (732) 514-2150 | Lifetouch Behavioral Health, Llc 28 Pioneer Ct Ewing NJ 08628-3604 Ph: (732) 514-2150 |
| NPI Number | 1942700125 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Medicare PECOS PAC ID | 3375807506 |
|---|---|
| Medicare Enrollment ID | O20180515002931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942700125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ijeoma A Okeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124304159 PECOS PAC ID: 4880868504 Enrollment ID: I20111115000569 |
| Provider Name | Laura Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841692613 PECOS PAC ID: 1052668589 Enrollment ID: I20180716001169 |
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