| Phoenix Psychotherapy Llc | |
|
191 Us 9 S Englishtown NJ 07726-8233 | |
| (732) 786-4804 | |
| (732) 612-5110 |
| Full Name | Phoenix Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 191 Us 9 S, Englishtown, New Jersey |
| Authorized Official Name and Position | Katie Smaldone (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7327864804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Psychotherapy Llc 191 Us 9 S Englishtown NJ 07726-8233 Ph: (732) 786-4804 | Phoenix Psychotherapy Llc 191 Us 9 S Englishtown NJ 07726-8233 Ph: (732) 786-4804 |
| NPI Number | 1851045207 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Certification Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851045207 | NPI | - | NPPES |
| 1447726856 | Other | INDIVIDUAL NPI | |
| 44SC05977000 | Other | NJ | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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