| Progressive Wellness & Therapy Group Of New Jersey Llc | |
|
350 W Passaic St Rochelle Park NJ 07662-3073 | |
| (201) 822-1232 | |
| Not Available |
| Full Name | Progressive Wellness & Therapy Group Of New Jersey Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 350 W Passaic St, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Thabatha Borer (OWNER/PRESIDENT) |
| Authorized Official Contact | 2018221232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Wellness & Therapy Group Of New Jersey Llc 64 Midland Ave Unit 131 Kearny NJ 07032-6806 Ph: () - | Progressive Wellness & Therapy Group Of New Jersey Llc 350 W Passaic St Rochelle Park NJ 07662-3073 Ph: (201) 822-1232 |
| NPI Number | 1811602014 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 01/23/2023 |
| Certification Date | 01/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811602014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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