| Lightened Heart Therapy, Llc | |
|
259 New Brunswick Ave Ste 202 Fords NJ 08863-2260 | |
| (732) 259-9603 | |
| (732) 243-9074 |
| Full Name | Lightened Heart Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 259 New Brunswick Ave Ste 202, Fords, New Jersey |
| Authorized Official Name and Position | Janet Lichauco (OWNER/THERAPIST) |
| Authorized Official Contact | 7322599603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightened Heart Therapy, Llc 259 New Brunswick Ave Ste 202 Fords NJ 08863-2260 Ph: (732) 259-9603 | Lightened Heart Therapy, Llc 259 New Brunswick Ave Ste 202 Fords NJ 08863-2260 Ph: (732) 259-9603 |
| NPI Number | 1083415426 |
|---|---|
| Provider Enumeration Date | 03/21/2025 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/19/2025 |
| Medicare PECOS PAC ID | 7416479191 |
|---|---|
| Medicare Enrollment ID | O20250322000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083415426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janet Lichauco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790919975 PECOS PAC ID: 3577617976 Enrollment ID: I20090819000858 |
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