| Ketamine Care Mental Health Counseling Llc | |
|
8-02 Plymouth Dr Fair Lawn NJ 07410-1641 | |
| (718) 687-7924 | |
| Not Available |
| Full Name | Ketamine Care Mental Health Counseling Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8-02 Plymouth Dr, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Orly Bentata Goldenberg (CEO) |
| Authorized Official Contact | 7186877924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine Care Mental Health Counseling Llc 250 Pehle Ave Ste 200 Saddle Brook NJ 07663-5835 Ph: () - | Ketamine Care Mental Health Counseling Llc 8-02 Plymouth Dr Fair Lawn NJ 07410-1641 Ph: (718) 687-7924 |
| NPI Number | 1093532608 |
|---|---|
| Provider Enumeration Date | 09/24/2024 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093532608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Natasha G Baron Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12-15 Broadway, 2a, Fair Lawn, NJ 07410 Phone: 201-334-2537 | |
Metropolitan Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5-11 Saddle River Rd, Suite 6, Fair Lawn, NJ 07410 Phone: 201-794-9797 Fax: 201-254-9650 | |
Choicepoint Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23-00 Route 208 Ste 2-9, Fair Lawn, NJ 07410 Phone: 844-445-2563 | |
Mh At Fair Lawn Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16-01 Broadway, Fair Lawn, NJ 07410 Phone: 201-797-0001 | |
Mhs Mental Healthcare Associates Llc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14-25 Plaza Rd Ste S22, Fair Lawn, NJ 07410 Phone: 201-873-8583 | |
Fair Lawn Behavioral Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12-15 Broadway, Fair Lawn, NJ 07410 Phone: 404-451-2334 Fax: 201-837-2027 |