| Blue Skies Counseling Services | |
|
255 Winans Ave Hillside NJ 07205 | |
| (908) 868-7784 | |
| Not Available |
| Full Name | Blue Skies Counseling Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 255 Winans Ave, Hillside, New Jersey |
| Authorized Official Name and Position | Alyssa Kimbrough (OWNER) |
| Authorized Official Contact | 9088687784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Skies Counseling Services 511 S Orange Ave Newark NJ 07103-1342 Ph: (908) 868-7784 | Blue Skies Counseling Services 255 Winans Ave Hillside NJ 07205 Ph: (908) 868-7784 |
| NPI Number | 1932838158 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/10/2022 |
| Certification Date | 06/10/2022 |
| Medicare PECOS PAC ID | 4082053699 |
|---|---|
| Medicare Enrollment ID | O20240416001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932838158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Alyssa Kimbrough |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902444946 PECOS PAC ID: 6800235417 Enrollment ID: I20240416002684 |
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