| Harmonious Life, Llc | |
|
896 Belle Ave Teaneck NJ 07666-2533 | |
| (551) 367-2223 | |
| Not Available |
| Full Name | Harmonious Life, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 896 Belle Ave, Teaneck, New Jersey |
| Authorized Official Name and Position | Sandra Rivera (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5513672223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmonious Life, Llc 896 Belle Ave Teaneck NJ 07666-2533 Ph: (551) 367-2223 | Harmonious Life, Llc 896 Belle Ave Teaneck NJ 07666-2533 Ph: (551) 367-2223 |
| NPI Number | 1609625045 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 8123560075 |
|---|---|
| Medicare Enrollment ID | O20240606001312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609625045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720832892 PECOS PAC ID: 9032651989 Enrollment ID: I20240625002343 |
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