| Sphinx Life Coaching | |
|
276 Branch Brook Dr Apt A Belleville NJ 07109-3620 | |
| (862) 485-7941 | |
| Not Available |
| Full Name | Sphinx Life Coaching |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 276 Branch Brook Dr Apt A, Belleville, New Jersey |
| Authorized Official Name and Position | Corey Wilson (MANAGER/CLINICIAN) |
| Authorized Official Contact | 8624857941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sphinx Life Coaching 276 Branch Brook Dr Apt A Belleville NJ 07109-3620 Ph: (862) 485-7941 | Sphinx Life Coaching 276 Branch Brook Dr Apt A Belleville NJ 07109-3620 Ph: (862) 485-7941 |
| NPI Number | 1629485792 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 07/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629485792 | NPI | - | NPPES |
| 0162353 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SL05582700 (New Jersey) | Primary |
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