Collaborative Perspectives, Llc | |
222 New Rd Ste 405 Linwood NJ 08221-1283 | |
(609) 380-1237 | |
Not Available |
Full Name | Collaborative Perspectives, Llc |
---|---|
Speciality | Clinic/Center |
Location | 222 New Rd Ste 405, Linwood, New Jersey |
Authorized Official Name and Position | Noel Hiers (OWNER) |
Authorized Official Contact | 6097054319 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Collaborative Perspectives, Llc Po Box 463 Northfield NJ 08225-0463 Ph: (609) 705-4319 | Collaborative Perspectives, Llc 222 New Rd Ste 405 Linwood NJ 08221-1283 Ph: (609) 380-1237 |
NPI Number | 1720742588 |
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Provider Enumeration Date | 10/27/2021 |
Last Update Date | 12/08/2021 |
Certification Date | 12/08/2021 |
Medicare PECOS PAC ID | 6800286790 |
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Medicare Enrollment ID | O20211208002388 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720742588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Provider Name | Noel R Hiers |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962694539 PECOS PAC ID: 4880788892 Enrollment ID: I20070921000297 |
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