| Stephanie Iannelli Lcsw Llc | |
|
250 Washington Street Suite A2 Toms River NJ 08753 | |
| (848) 251-2642 | |
| (848) 251-2641 |
| Full Name | Stephanie Iannelli Lcsw Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 250 Washington Street, Toms River, New Jersey |
| Authorized Official Name and Position | Stephanie Iannelli (SOLE MEMBER) |
| Authorized Official Contact | 8482512642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Iannelli Lcsw Llc 250 Washington St Ste A2 Toms River NJ 08753-7575 Ph: (848) 251-2642 | Stephanie Iannelli Lcsw Llc 250 Washington Street Suite A2 Toms River NJ 08753 Ph: (848) 251-2642 |
| NPI Number | 1487177101 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487177101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44SC05660900 (New Jersey) | Primary |
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