Key To Change Counseling Services Corp. | |
1 Canidae Ct Tinton Falls NJ 07753-7636 | |
(732) 510-9385 | |
Not Available |
Full Name | Key To Change Counseling Services Corp. |
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Speciality | Social Worker |
Location | 1 Canidae Ct, Tinton Falls, New Jersey |
Authorized Official Name and Position | Angela Key (OWNER) |
Authorized Official Contact | 7325109385 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Key To Change Counseling Services Corp. 1 Canidae Ct Tinton Falls NJ 07753-7636 Ph: () - | Key To Change Counseling Services Corp. 1 Canidae Ct Tinton Falls NJ 07753-7636 Ph: (732) 510-9385 |
NPI Number | 1699465773 |
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Provider Enumeration Date | 05/11/2023 |
Last Update Date | 09/19/2023 |
Certification Date | 09/19/2023 |
Medicare PECOS PAC ID | 2961866595 |
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Medicare Enrollment ID | O20230914001525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699465773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Angela Key |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1144376930 PECOS PAC ID: 6103045760 Enrollment ID: I20140912000815 |
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