| Lmi Psychotherapy Llc | |
|
105 Grove St Ste 14-3 Montclair NJ 07042-4051 | |
| (503) 307-0754 | |
| Not Available |
| Full Name | Lmi Psychotherapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 105 Grove St Ste 14-3, Montclair, New Jersey |
| Authorized Official Name and Position | Lisa M Ilaria (OWNER) |
| Authorized Official Contact | 9739833762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmi Psychotherapy Llc 80 Grove St Montclair NJ 07042-3708 Ph: () - | Lmi Psychotherapy Llc 105 Grove St Ste 14-3 Montclair NJ 07042-4051 Ph: (503) 307-0754 |
| NPI Number | 1558845206 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 08/02/2021 |
| Certification Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558845206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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