Shore Mental Healthcare, Llc | |
520 Main St Toms River NJ 08753-7420 | |
(732) 551-2051 | |
(732) 551-2051 |
Full Name | Shore Mental Healthcare, Llc |
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Speciality | Community/Behavioral Health |
Location | 520 Main St, Toms River, New Jersey |
Authorized Official Name and Position | Mary Ann Sengstack (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 7325512051 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shore Mental Healthcare, Llc 520 Main St Toms River NJ 08753-7420 Ph: (732) 551-2051 | Shore Mental Healthcare, Llc 520 Main St Toms River NJ 08753-7420 Ph: (732) 551-2051 |
NPI Number | 1396183992 |
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Provider Enumeration Date | 06/05/2013 |
Last Update Date | 06/05/2013 |
Medicare PECOS PAC ID | 2961644349 |
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Medicare Enrollment ID | O20130814000728 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396183992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 44SC05486700 (New Jersey) | Primary |
Provider Name | Mary Ann Sengstack |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023344314 PECOS PAC ID: 3870735251 Enrollment ID: I20130814000762 |
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