| Lifework Counseling Llc | |
|
47 Box Telehealth Drive Bergen NJ 07630-0047 | |
| (551) 236-2936 | |
| Not Available |
| Full Name | Lifework Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 47 Box Telehealth Drive, Bergen, New Jersey |
| Authorized Official Name and Position | Vasti Cedeno (DIRECTOR) |
| Authorized Official Contact | 5514860867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifework Counseling Llc Po Box 47 Emerson NJ 07630-0047 Ph: (551) 236-2936 | Lifework Counseling Llc 47 Box Telehealth Drive Bergen NJ 07630-0047 Ph: (551) 236-2936 |
| NPI Number | 1801477617 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 05/11/2021 |
| Certification Date | 04/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801477617 | NPI | - | NPPES |
| 0450635327 | Other | NJ | CERTIFICATE OF FORMATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |