| My Quiet Place, Mental Health Counseling Nj Llc | |
|
420 Broadway Bayonne NJ 07002-7113 | |
| (718) 813-9924 | |
| Not Available |
| Full Name | My Quiet Place, Mental Health Counseling Nj Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 420 Broadway, Bayonne, New Jersey |
| Authorized Official Name and Position | Marina Krugolets (PRACTICE OWNER) |
| Authorized Official Contact | 2012472582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Quiet Place, Mental Health Counseling Nj Llc 121 Colony Ave Staten Island NY 10305-4029 Ph: (718) 813-9924 | My Quiet Place, Mental Health Counseling Nj Llc 420 Broadway Bayonne NJ 07002-7113 Ph: (718) 813-9924 |
| NPI Number | 1831946441 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831946441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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