| Innerspace Counseling, Llc | |
|
2433 Route 516 Suite D Old Bridge NJ 08857-1899 | |
| (732) 332-8270 | |
| (732) 862-1146 |
| Full Name | Innerspace Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2433 Route 516, Old Bridge, New Jersey |
| Authorized Official Name and Position | Ajita Mohan (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9084489282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerspace Counseling, Llc 2433 Route 516 Suite D Old Bridge NJ 08857-1899 Ph: (732) 332-8270 | Innerspace Counseling, Llc 2433 Route 516 Suite D Old Bridge NJ 08857-1899 Ph: (732) 332-8270 |
| NPI Number | 1043620321 |
|---|---|
| Provider Enumeration Date | 05/07/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043620321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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