| Mhs Mental Healthcare Associates Llc. | |
|
14-25 Plaza Rd Ste S22 Fair Lawn NJ 07410-3591 | |
| (201) 873-8583 | |
| Not Available |
| Full Name | Mhs Mental Healthcare Associates Llc. |
|---|---|
| Speciality | Social Worker |
| Location | 14-25 Plaza Rd Ste S22, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Francine Gordon (OWNER) |
| Authorized Official Contact | 2018738583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhs Mental Healthcare Associates Llc. 14-25 Plaza Rd Ste S22 Fair Lawn NJ 07410-3591 Ph: (201) 873-8583 | Mhs Mental Healthcare Associates Llc. 14-25 Plaza Rd Ste S22 Fair Lawn NJ 07410-3591 Ph: (201) 873-8583 |
| NPI Number | 1104064682 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Medicare PECOS PAC ID | 7810326642 |
|---|---|
| Medicare Enrollment ID | O20200331000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104064682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05206200 (New Jersey) | Primary |
| Provider Name | Francine Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124186457 PECOS PAC ID: 8729417555 Enrollment ID: I20200331002945 |
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