| Broad Sessions Counseling, Llc | |
|
14 Hillcrest Ave Oaklyn NJ 08107-1432 | |
| (609) 617-0616 | |
| Not Available |
| Full Name | Broad Sessions Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14 Hillcrest Ave, Oaklyn, New Jersey |
| Authorized Official Name and Position | Melissa Simonini (OWNER) |
| Authorized Official Contact | 6096170616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broad Sessions Counseling, Llc 14 Hillcrest Ave Oaklyn NJ 08107-1432 Ph: (609) 617-0616 | Broad Sessions Counseling, Llc 14 Hillcrest Ave Oaklyn NJ 08107-1432 Ph: (609) 617-0616 |
| NPI Number | 1184238214 |
|---|---|
| Provider Enumeration Date | 09/05/2020 |
| Last Update Date | 09/05/2020 |
| Certification Date | 09/05/2020 |
| Medicare PECOS PAC ID | 0143631135 |
|---|---|
| Medicare Enrollment ID | O20201123003360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184238214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Simonini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033753066 PECOS PAC ID: 1052722048 Enrollment ID: I20201123003387 |
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