| Jewel Of Life Counseling, Llc | |
|
1812 Front St Scotch Plains NJ 07076-1103 | |
| (732) 318-5114 | |
| Not Available |
| Full Name | Jewel Of Life Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1812 Front St, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Ivy Horan (OWNER) |
| Authorized Official Contact | 7323185114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewel Of Life Counseling, Llc 1199 Amboy Ave Ste 250-f5 Edison NJ 08837-2552 Ph: () - | Jewel Of Life Counseling, Llc 1812 Front St Scotch Plains NJ 07076-1103 Ph: (732) 318-5114 |
| NPI Number | 1811602550 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Medicare PECOS PAC ID | 1254704331 |
|---|---|
| Medicare Enrollment ID | O20230311000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811602550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ivy J Horan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629609649 PECOS PAC ID: 1153711585 Enrollment ID: I20211129002178 |
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