| Faithlift & Hope, Llc | |
|
322 Livingston Ave New Brunswick NJ 08901-3457 | |
| (732) 202-5406 | |
| Not Available |
| Full Name | Faithlift & Hope, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 322 Livingston Ave, New Brunswick, New Jersey |
| Authorized Official Name and Position | Wanda Y Quezada (DIRECTOR OF MENTAL HEALTH SERVICES) |
| Authorized Official Contact | 7322025406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faithlift & Hope, Llc 335 George Street, Suite 4 #307 New Brunswick NJ 08901-3457 Ph: (732) 202-5406 | Faithlift & Hope, Llc 322 Livingston Ave New Brunswick NJ 08901-3457 Ph: (732) 202-5406 |
| NPI Number | 1558741348 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 03/04/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 8022453224 |
|---|---|
| Medicare Enrollment ID | O20240419003053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558741348 | NPI | - | NPPES |
| Provider Name | Wanda Y Quezada |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528448321 PECOS PAC ID: 0042659294 Enrollment ID: I20240419003235 |
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