Imani Counseling Service Llc | |
774 Eayrestown Road Lumberton NJ 08048-3100 | |
(917) 868-2113 | |
Not Available |
Full Name | Imani Counseling Service Llc |
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Speciality | Counselor - Mental Health |
Location | 774 Eayrestown Road, Lumberton, New Jersey |
Authorized Official Name and Position | Jacqueline Thomas (OWNER) |
Authorized Official Contact | 9178682113 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Imani Counseling Service Llc 774 Eayrestown Road Lumberton NJ 08048-3100 Ph: (917) 868-2113 | Imani Counseling Service Llc 774 Eayrestown Road Lumberton NJ 08048-3100 Ph: (917) 868-2113 |
NPI Number | 1245652882 |
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Provider Enumeration Date | 01/16/2014 |
Last Update Date | 10/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245652882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 44SC05425200 (New Jersey) | Primary |
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