| A Space For You Mental Health Care Pc | |
|
654 Avenue C Ste 301 Bayonne NJ 07002-3899 | |
| (201) 743-8889 | |
| Not Available |
| Full Name | A Space For You Mental Health Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 654 Avenue C Ste 301, Bayonne, New Jersey |
| Authorized Official Name and Position | Tasia Milicevic (OWNER OF PRACTICE) |
| Authorized Official Contact | 7187300787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Space For You Mental Health Care Pc 654 Avenue C Ste 301 Bayonne NJ 07002-3899 Ph: (201) 743-8889 | A Space For You Mental Health Care Pc 654 Avenue C Ste 301 Bayonne NJ 07002-3899 Ph: (201) 743-8889 |
| NPI Number | 1306513148 |
|---|---|
| Provider Enumeration Date | 08/29/2021 |
| Last Update Date | 08/29/2021 |
| Medicare PECOS PAC ID | 6800275207 |
|---|---|
| Medicare Enrollment ID | O20220615000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306513148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Tasia Milicevic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447504931 PECOS PAC ID: 7416385927 Enrollment ID: I20200218001223 |
| Provider Name | Linda M June |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134881881 PECOS PAC ID: 3072997238 Enrollment ID: I20220907002421 |
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