| The In-home Parent Coach, Llc | |
|
151 W Passaic St Fl 2 Rochelle Park NJ 07662-3105 | |
| (201) 315-4151 | |
| (201) 300-6109 |
| Full Name | The In-home Parent Coach, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 151 W Passaic St Fl 2, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Jason Johnson (SINGLE MANAGING MEMBER) |
| Authorized Official Contact | 2013154151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The In-home Parent Coach, Llc 151 W Passaic St Fl 2 Rochelle Park NJ 07662-3105 Ph: (201) 315-4151 | The In-home Parent Coach, Llc 151 W Passaic St Fl 2 Rochelle Park NJ 07662-3105 Ph: (201) 315-4151 |
| NPI Number | 1801362702 |
|---|---|
| Provider Enumeration Date | 10/17/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801362702 | NPI | - | NPPES |
| 1357674930 | Medicaid | NJ | |
| 1861867004 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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