| Peace Of Mind Therapeutic Services, Llc | |
|
9 Village Ct Hazlet NJ 07730-1531 | |
| (732) 637-9313 | |
| (732) 344-6165 |
| Full Name | Peace Of Mind Therapeutic Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9 Village Ct, Hazlet, New Jersey |
| Authorized Official Name and Position | Jarrah Kratzer (OWNER) |
| Authorized Official Contact | 7326379313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peace Of Mind Therapeutic Services, Llc 9 Village Ct Hazlet NJ 07730-1531 Ph: (732) 637-9313 | Peace Of Mind Therapeutic Services, Llc 9 Village Ct Hazlet NJ 07730-1531 Ph: (732) 637-9313 |
| NPI Number | 1164991170 |
|---|---|
| Provider Enumeration Date | 11/19/2018 |
| Last Update Date | 11/19/2018 |
| Medicare PECOS PAC ID | 5092069468 |
|---|---|
| Medicare Enrollment ID | O20181121002062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164991170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jarrah K Kratzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700218666 PECOS PAC ID: 2466687330 Enrollment ID: I20131030001420 |
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