| Kairos Psychotherapy & Wellness Llc | |
|
18-20 Lackawanna Plz Ste 300 Montclair NJ 07042-3642 | |
| (862) 801-2410 | |
| Not Available |
| Full Name | Kairos Psychotherapy & Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18-20 Lackawanna Plz Ste 300, Montclair, New Jersey |
| Authorized Official Name and Position | Lionel Latouche (CO-OWNER) |
| Authorized Official Contact | 8453048138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kairos Psychotherapy & Wellness Llc 1 Meadowlands Plz Ste 200 East Rutherford NJ 07073-2152 Ph: (862) 801-2410 | Kairos Psychotherapy & Wellness Llc 18-20 Lackawanna Plz Ste 300 Montclair NJ 07042-3642 Ph: (862) 801-2410 |
| NPI Number | 1134867096 |
|---|---|
| Provider Enumeration Date | 05/21/2022 |
| Last Update Date | 02/20/2023 |
| Certification Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134867096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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