| Practical Therapy Network LLC | |
|
550 W Main St Boonton NJ 07005 | |
| (201) 214-5725 | |
| (866) 282-5725 |
| Full Name | Practical Therapy Network LLC |
|---|---|
| Speciality | Counselor - Professional |
| Location | 550 W Main St, Boonton, New Jersey |
| Authorized Official Name and Position | Janine Heinis (LPC/OWNER) |
| Authorized Official Contact | 2013896115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Practical Therapy Network LLC Po Box 528 Chester NJ 07930-0528 Ph: (201) 214-5725 | Practical Therapy Network LLC 550 W Main St Boonton NJ 07005 Ph: (201) 214-5725 |
| NPI Number | 1831697820 |
|---|---|
| Provider Enumeration Date | 01/25/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831697820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00518800 (New Jersey) | Secondary |
| 101YP2500X | Counselor - Professional | 37PC00518800 (New Jersey) | Primary |
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