| Healing Our Parts Group Psychotherapy Practice Llc | |
|
777 Clifford Saladin St Rahway NJ 07065-5670 | |
| (347) 678-6287 | |
| (347) 230-5340 |
| Full Name | Healing Our Parts Group Psychotherapy Practice Llc |
|---|---|
| Speciality | Social Worker |
| Location | 777 Clifford Saladin St, Rahway, New Jersey |
| Authorized Official Name and Position | Michael Cotayo (THERAPIST) |
| Authorized Official Contact | 3476786287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Our Parts Group Psychotherapy Practice Llc 777 Clifford Saladin St Rahway NJ 07065-5670 Ph: (347) 678-6287 | Healing Our Parts Group Psychotherapy Practice Llc 777 Clifford Saladin St Rahway NJ 07065-5670 Ph: (347) 678-6287 |
| NPI Number | 1518738756 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 08/28/2024 |
| Certification Date | 08/28/2024 |
| Medicare PECOS PAC ID | 6002252426 |
|---|---|
| Medicare Enrollment ID | O20240307003415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518738756 | NPI | - | NPPES |
| Provider Name | Michael J Cotayo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265676282 PECOS PAC ID: 4688859994 Enrollment ID: I20231211003436 |
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