Mental Health Association Of Monmouth County | |
106 Apple St Ste 110 Tinton Falls NJ 07724-2670 | |
(732) 542-6422 | |
(732) 542-2477 |
Full Name | Mental Health Association Of Monmouth County |
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Speciality | Counselor |
Location | 106 Apple St Ste 110, Tinton Falls, New Jersey |
Authorized Official Name and Position | Lisa Kerrigan (BILLING MANAGER) |
Authorized Official Contact | 7327590498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mental Health Association Of Monmouth County 106 Apple St Ste 110 Tinton Falls NJ 07724-2670 Ph: (732) 542-6422 | Mental Health Association Of Monmouth County 106 Apple St Ste 110 Tinton Falls NJ 07724-2670 Ph: (732) 542-6422 |
NPI Number | 1841701083 |
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Provider Enumeration Date | 10/16/2017 |
Last Update Date | 05/04/2022 |
Certification Date | 05/04/2022 |
Medicare PECOS PAC ID | 6709141005 |
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Medicare Enrollment ID | O20180606002794 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841701083 | NPI | - | NPPES |
596493 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (New Jersey) | Primary |
Provider Name | Holly A Heston |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356882666 PECOS PAC ID: 6305192956 Enrollment ID: I20180712000032 |
Provider Name | Kristine Lane |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518698554 PECOS PAC ID: 5991180465 Enrollment ID: I20220920000677 |
Provider Name | Mackenzie Mcdermott |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679033278 PECOS PAC ID: 8224496419 Enrollment ID: I20230620003550 |
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