| Bereavement & Life Transitions Center, Inc | |
|
294 Broad St Red Bank NJ 07701-2152 | |
| (732) 219-6804 | |
| (732) 219-7006 |
| Full Name | Bereavement & Life Transitions Center, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 294 Broad St, Red Bank, New Jersey |
| Authorized Official Name and Position | Lynn Spector (OWNER) |
| Authorized Official Contact | 7322196804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bereavement & Life Transitions Center, Inc 294 Broad St Red Bank NJ 07701-2152 Ph: (732) 219-6804 | Bereavement & Life Transitions Center, Inc 294 Broad St Red Bank NJ 07701-2152 Ph: (732) 219-6804 |
| NPI Number | 1174907307 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 01/04/2016 |
| Medicare PECOS PAC ID | 1153624770 |
|---|---|
| Medicare Enrollment ID | O20160114001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174907307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Provider Name | Lynn W Spector |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316065964 PECOS PAC ID: 2860795481 Enrollment ID: I20160114001694 |
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