| Human Therapy Llc | |
|
70 Willow Ln Tenafly NJ 07670-2808 | |
| (201) 638-6991 | |
| Not Available |
| Full Name | Human Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 70 Willow Ln, Tenafly, New Jersey |
| Authorized Official Name and Position | Yekaterina Chizhova (LCSW) |
| Authorized Official Contact | 2016386991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Human Therapy Llc 70 Willow Ln Tenafly NJ 07670-2808 Ph: () - | Human Therapy Llc 70 Willow Ln Tenafly NJ 07670-2808 Ph: (201) 638-6991 |
| NPI Number | 1497199863 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 04/29/2013 |
| Medicare PECOS PAC ID | 4587804083 |
|---|---|
| Medicare Enrollment ID | O20130705000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497199863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05236100 (New Jersey) | Primary |
| Provider Name | Yekaterina Chizhova |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437203015 PECOS PAC ID: 7618991613 Enrollment ID: I20060117001116 |
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