| Illuminating Possibilities Therapeutic Services | |
|
983 Summit Ave Jersey City NJ 07307-3601 | |
| (201) 284-9136 | |
| Not Available |
| Full Name | Illuminating Possibilities Therapeutic Services |
|---|---|
| Speciality | Clinic/center |
| Location | 983 Summit Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Larissa Fedak (FOUNDER/CHIEF CLINICAL DIRECTOR) |
| Authorized Official Contact | 2012849136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminating Possibilities Therapeutic Services 434 Dunellen Ave Dunellen NJ 08812-1236 Ph: (551) 226-1112 | Illuminating Possibilities Therapeutic Services 983 Summit Ave Jersey City NJ 07307-3601 Ph: (201) 284-9136 |
| NPI Number | 1538728209 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538728209 | NPI | - | NPPES |
| 1235376997 | Other | NJ | PRIVATE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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