Alchemy Psychotherapy, Llc | |
1164 Raritan Ave Highland Park NJ 08904-3653 | |
(720) 663-0103 | |
Not Available |
Full Name | Alchemy Psychotherapy, Llc |
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Speciality | Clinic/Center |
Location | 1164 Raritan Ave, Highland Park, New Jersey |
Authorized Official Name and Position | Shayan Salar (OWNER AND PSYCHOTHERAPIST) |
Authorized Official Contact | 7206630103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alchemy Psychotherapy, Llc 1164 Raritan Ave Highland Park NJ 08904-3653 Ph: () - | Alchemy Psychotherapy, Llc 1164 Raritan Ave Highland Park NJ 08904-3653 Ph: (720) 663-0103 |
NPI Number | 1003444878 |
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Provider Enumeration Date | 03/29/2020 |
Last Update Date | 04/23/2020 |
Certification Date | 04/23/2020 |
Medicare PECOS PAC ID | 5597194910 |
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Medicare Enrollment ID | O20200407001127 |
Identifier | Type | State | Issuer |
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1003444878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Shayan Salar |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154818128 PECOS PAC ID: 1850720277 Enrollment ID: I20200407001262 |
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