| Blue Dot Psychotherapy Licensed Mental Health Counseling Pllc | |
|
25 River Rd Apt A6 Nutley NJ 07110-3443 | |
| (347) 753-7904 | |
| Not Available |
| Full Name | Blue Dot Psychotherapy Licensed Mental Health Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 25 River Rd Apt A6, Nutley, New Jersey |
| Authorized Official Name and Position | Arianny Marrero (OWNER) |
| Authorized Official Contact | 3477537904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Dot Psychotherapy Licensed Mental Health Counseling Pllc 25 River Rd Apt A6 Nutley NJ 07110-3443 Ph: (347) 753-7904 | Blue Dot Psychotherapy Licensed Mental Health Counseling Pllc 25 River Rd Apt A6 Nutley NJ 07110-3443 Ph: (347) 753-7904 |
| NPI Number | 1841988276 |
|---|---|
| Provider Enumeration Date | 04/25/2023 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 2567902224 |
|---|---|
| Medicare Enrollment ID | O20240909002036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841988276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Arianny Marrero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134638950 PECOS PAC ID: 3476093139 Enrollment ID: I20240909002277 |
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