| Elevated Integrative Therapy Llc | |
|
2500 Plaza 5 Jersey City NJ 07311 | |
| (571) 357-3722 | |
| (201) 648-2707 |
| Full Name | Elevated Integrative Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2500 Plaza 5, Jersey City, New Jersey |
| Authorized Official Name and Position | Sandy Amin (OWNER) |
| Authorized Official Contact | 5713573722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Integrative Therapy Llc 19 Dawn Dr Port Reading NJ 07064-1403 Ph: (571) 357-3722 | Elevated Integrative Therapy Llc 2500 Plaza 5 Jersey City NJ 07311 Ph: (571) 357-3722 |
| NPI Number | 1801630140 |
|---|---|
| Provider Enumeration Date | 06/21/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801630140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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