| Mvcg Psychotherapy Services, Llc | |
|
512 Warren Ave Ofc Spring Lake NJ 07762-1233 | |
| (732) 575-0506 | |
| Not Available |
| Full Name | Mvcg Psychotherapy Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 512 Warren Ave Ofc, Spring Lake, New Jersey |
| Authorized Official Name and Position | Manuela Valventos Correia-guerra (OWNER) |
| Authorized Official Contact | 7325750506 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mvcg Psychotherapy Services, Llc 512 Warren Ave Ofc Spring Lake NJ 07762-1233 Ph: (732) 575-0506 | Mvcg Psychotherapy Services, Llc 512 Warren Ave Ofc Spring Lake NJ 07762-1233 Ph: (732) 575-0506 |
| NPI Number | 1700572187 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 3779010350 |
|---|---|
| Medicare Enrollment ID | O20241219004396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700572187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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