| Live Life Therapy, Llc | |
|
317 Godwin Ave Midland Park NJ 07432-1519 | |
| (201) 644-6164 | |
| Not Available |
| Full Name | Live Life Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 317 Godwin Ave, Midland Park, New Jersey |
| Authorized Official Name and Position | Aimee Restifo (SOLE OWNER) |
| Authorized Official Contact | 2016446164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Life Therapy, Llc 86 Oakhill Rd Midland Park NJ 07432-1222 Ph: (201) 644-6164 | Live Life Therapy, Llc 317 Godwin Ave Midland Park NJ 07432-1519 Ph: (201) 644-6164 |
| NPI Number | 1033899927 |
|---|---|
| Provider Enumeration Date | 07/24/2023 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Medicare PECOS PAC ID | 3173978285 |
|---|---|
| Medicare Enrollment ID | O20231010001976 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033899927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Aimee E Restifo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124398953 PECOS PAC ID: 1850797465 Enrollment ID: I20210908000019 |
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