| 3q S & Hart Counseling Llc | |
|
141 S Black Horse Pike Ste 102 Blackwood NJ 08012 | |
| (856) 842-4210 | |
| (856) 341-9289 |
| Full Name | 3q S & Hart Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 141 S Black Horse Pike Ste 102, Blackwood, New Jersey |
| Authorized Official Name and Position | Monique La-ruth Hart (PRESIDENT) |
| Authorized Official Contact | 8568424210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 3q S & Hart Counseling Llc 1448 70th Ave Philadelphia PA 19126-1614 Ph: (856) 842-4210 | 3q S & Hart Counseling Llc 141 S Black Horse Pike Ste 102 Blackwood NJ 08012 Ph: (856) 842-4210 |
| NPI Number | 1306334966 |
|---|---|
| Provider Enumeration Date | 04/28/2018 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Medicare PECOS PAC ID | 8628323615 |
|---|---|
| Medicare Enrollment ID | O20180614002477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306334966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05731900 (New Jersey) | Primary |
| Provider Name | Monique La-ruth Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942440664 PECOS PAC ID: 0446505432 Enrollment ID: I20180614002570 |
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