| Hicks Group Alternative Mental Health | |
|
116 Millburn Ave Ste 104 Millburn NJ 07041-1919 | |
| (908) 364-7611 | |
| (908) 913-0912 |
| Full Name | Hicks Group Alternative Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 116 Millburn Ave Ste 104, Millburn, New Jersey |
| Authorized Official Name and Position | Aunjuli Hicks (OWNER/MANAGING DIRECTOR) |
| Authorized Official Contact | 9083647611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hicks Group Alternative Mental Health 116 Millburn Ave Ste 104 Millburn NJ 07041-1919 Ph: (908) 364-7611 | Hicks Group Alternative Mental Health 116 Millburn Ave Ste 104 Millburn NJ 07041-1919 Ph: (908) 364-7611 |
| NPI Number | 1861743361 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 12/22/2023 |
| Certification Date | 12/22/2023 |
| Medicare PECOS PAC ID | 5799136461 |
|---|---|
| Medicare Enrollment ID | O20240106000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861743361 | NPI | - | NPPES |
| 1225361157 | Other | NJ | NPI INDIVIDUAL PROVIDER NUMBER |
| Provider Name | Aunjuli Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225361157 PECOS PAC ID: 9537295092 Enrollment ID: I20240106000072 |
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