| Lifebulb Llc | |
|
505 Main St Toms River NJ 08753-7443 | |
| (434) 944-7565 | |
| Not Available |
| Full Name | Lifebulb Llc |
|---|---|
| Speciality | Counselor |
| Location | 505 Main St, Toms River, New Jersey |
| Authorized Official Name and Position | Daniel Belcher (OWNER) |
| Authorized Official Contact | 4349447565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifebulb Llc 505 Main St Toms River NJ 08753-7443 Ph: (434) 944-7565 | Lifebulb Llc 505 Main St Toms River NJ 08753-7443 Ph: (434) 944-7565 |
| NPI Number | 1699491464 |
|---|---|
| Provider Enumeration Date | 10/13/2022 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Medicare PECOS PAC ID | 2062881162 |
|---|---|
| Medicare Enrollment ID | O20221213000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699491464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Beverly Hopkins Morgan-fullilove |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114214327 PECOS PAC ID: 7214182880 Enrollment ID: I20130305000377 |
| Provider Name | Marianne Redmond Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700981412 PECOS PAC ID: 2264673144 Enrollment ID: I20130719000437 |
| Provider Name | Cynthia T Sherman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528388014 PECOS PAC ID: 0749557411 Enrollment ID: I20170531000425 |
| Provider Name | Gail E Conner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508301375 PECOS PAC ID: 8022380914 Enrollment ID: I20170828003349 |
| Provider Name | Amy C Fehrmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942695291 PECOS PAC ID: 1456659770 Enrollment ID: I20220502000384 |
| Provider Name | Alexandra Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629379672 PECOS PAC ID: 6103272836 Enrollment ID: I20231031003853 |
| Provider Name | Stacie Kruzinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518480706 PECOS PAC ID: 4183072523 Enrollment ID: I20231127001312 |
| Provider Name | Anna M Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912270596 PECOS PAC ID: 6507145612 Enrollment ID: I20231222001735 |
| Provider Name | Rosemary Cosselmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356007280 PECOS PAC ID: 2769829324 Enrollment ID: I20240319002734 |
| Provider Name | Ashley Patrican |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588160832 PECOS PAC ID: 2961842844 Enrollment ID: I20240425000807 |
| Provider Name | Anita Abotsi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407625601 PECOS PAC ID: 8325583503 Enrollment ID: I20240711003376 |
| Provider Name | Kara Tracy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629733944 PECOS PAC ID: 1658819560 Enrollment ID: I20240809002510 |
| Provider Name | Bethany Gravely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245732262 PECOS PAC ID: 1951656610 Enrollment ID: I20240829002609 |
| Provider Name | Joshua Schaap |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659135432 PECOS PAC ID: 7517406762 Enrollment ID: I20240831000186 |
| Provider Name | Nicole Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619699097 PECOS PAC ID: 9335688530 Enrollment ID: I20240903000648 |
| Provider Name | Keshia Diane Ingram |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043824675 PECOS PAC ID: 0345789467 Enrollment ID: I20240903001896 |
| Provider Name | Kathryn Louise Nevin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407490964 PECOS PAC ID: 1355736687 Enrollment ID: I20240903002084 |
| Provider Name | Loma Marie Gulley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285100867 PECOS PAC ID: 9234678384 Enrollment ID: I20240903003273 |
| Provider Name | Marsha Jackie Cox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023748456 PECOS PAC ID: 4284173378 Enrollment ID: I20240904000285 |
| Provider Name | Cheryl Thompson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104330984 PECOS PAC ID: 3072053164 Enrollment ID: I20240904000436 |
| Provider Name | Jennifer Lee Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316078850 PECOS PAC ID: 3971043076 Enrollment ID: I20240904000897 |
| Provider Name | Mackenzie Grace Dressing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1972008993 PECOS PAC ID: 2062945223 Enrollment ID: I20241025001937 |
| Provider Name | Angela Gail Reed |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396304754 PECOS PAC ID: 8921532805 Enrollment ID: I20241114002690 |
| Provider Name | Ebony Harrison |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053914580 PECOS PAC ID: 0749716017 Enrollment ID: I20241210002061 |
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