| Supportive Therapeutic Services, Llc | |
|
59 Main St Ste 205a West Orange NJ 07052-5333 | |
| (973) 325-3132 | |
| Not Available |
| Full Name | Supportive Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 59 Main St Ste 205a, West Orange, New Jersey |
| Authorized Official Name and Position | Raushanah Reid (CEO, THERAPIST) |
| Authorized Official Contact | 9733253132 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Therapeutic Services, Llc 59 Main St Ste 205a West Orange NJ 07052-5333 Ph: (973) 325-3132 | Supportive Therapeutic Services, Llc 59 Main St Ste 205a West Orange NJ 07052-5333 Ph: (973) 325-3132 |
| NPI Number | 1700390549 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 12/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700390549 | NPI | - | NPPES |
| 000745460 | Other | NJ | UNITED HEALTHCARE |
| 5582638 | Other | NJ | CIGNA |
| 900203 | Other | NJ | HBCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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