| Life Design Behavioral Health, Llc | |
|
45 Delaware St Ste 2 Woodbury NJ 08096-5931 | |
| (856) 304-0578 | |
| (302) 529-5806 |
| Full Name | Life Design Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45 Delaware St Ste 2, Woodbury, New Jersey |
| Authorized Official Name and Position | Suzanne Marie Petrucci (OWNER. CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8563040578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Design Behavioral Health, Llc 45 Delaware St Ste 2 Woodbury NJ 08096-5931 Ph: (856) 304-0578 | Life Design Behavioral Health, Llc 45 Delaware St Ste 2 Woodbury NJ 08096-5931 Ph: (856) 304-0578 |
| NPI Number | 1457133662 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457133662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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