Shobha Ayyappan, MS, LPC | |
2130 Millburn Ave Ste D1, Maplewood, NJ 07040-3749 | |
(201) 259-1890 | |
Not Available |
Full Name | Shobha Ayyappan |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2130 Millburn Ave Ste D1, Maplewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770071359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00595000 (New Jersey) | Primary |
Entity Name | South Mountain Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952939944 PECOS PAC ID: 2961841275 Enrollment ID: O20240419001048 |
Mailing Address | Practice Location Address |
---|---|
Shobha Ayyappan, MS, LPC 146 Glen Ave, Millburn, NJ 07041-1722 Ph: (201) 259-1890 | Shobha Ayyappan, MS, LPC 2130 Millburn Ave Ste D1, Maplewood, NJ 07040-3749 Ph: (201) 259-1890 |
Mr. Moses Myers Jr., MS, LCADC,SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave, Suite D1, Maplewood, NJ 07040 Phone: 908-875-5123 Fax: 973-763-8243 | |
Angelica Eason-white, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave Ste 100, Maplewood, NJ 07040 Phone: 973-558-0752 | |
Latonya White, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2130 Millburn Ave Ste D1, Maplewood, NJ 07040 Phone: 973-699-1337 Fax: 973-763-8243 | |
Miss Erlie Moise, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Parker Ave, Maplewood, NJ 07040 Phone: 973-762-5600 | |
Nicole Peluso, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave, Maplewood, NJ 07040 Phone: 201-400-2503 | |
Emmanuel Rwivanga Ruranga, MS.LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2115 Millburn Ave Ste 102, Maplewood, NJ 07040 Phone: 973-821-4702 | |
Ms. Laura Cronan Otchy, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 669 Prospect St, Maplewood, NJ 07040 Phone: 973-762-4185 |