| Healing Road Counseling Services, Llc | |
|
101 Mountain Ct Ste 101b Hackettstown NJ 07840-2300 | |
| (215) 688-5116 | |
| Not Available |
| Full Name | Healing Road Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 Mountain Ct Ste 101b, Hackettstown, New Jersey |
| Authorized Official Name and Position | Yudelka Columna-grajewski (OWNER) |
| Authorized Official Contact | 2156885116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Road Counseling Services, Llc 101 Mountain Ct Ste 101b Hackettstown NJ 07840-2300 Ph: (215) 688-5116 | Healing Road Counseling Services, Llc 101 Mountain Ct Ste 101b Hackettstown NJ 07840-2300 Ph: (215) 688-5116 |
| NPI Number | 1437719887 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 0143552505 |
|---|---|
| Medicare Enrollment ID | O20191105000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437719887 | NPI | - | NPPES |
| 44SC05843800 | Other | NJ | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yudelka Columna-grajewski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003230392 PECOS PAC ID: 4183956550 Enrollment ID: I20191127000688 |
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