| Agnello Therapy Group, L.l.c. | |
|
107 E Mount Pleasant Ave Ste 8 Livingston NJ 07039-3038 | |
| (973) 476-6371 | |
| Not Available |
| Full Name | Agnello Therapy Group, L.l.c. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 107 E Mount Pleasant Ave Ste 8, Livingston, New Jersey |
| Authorized Official Name and Position | Kristen Justine Agnello (OWNER/DIRECTOR) |
| Authorized Official Contact | 9734766371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnello Therapy Group, L.l.c. 33 Cambridge Ave Denville NJ 07834-9675 Ph: (973) 476-6371 | Agnello Therapy Group, L.l.c. 107 E Mount Pleasant Ave Ste 8 Livingston NJ 07039-3038 Ph: (973) 476-6371 |
| NPI Number | 1902464043 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 05/27/2023 |
| Certification Date | 05/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902464043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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