| Therapeutic Alliance Group, Inc. | |
|
10 Forest Ave Ste 209 Paramus NJ 07652-5238 | |
| (551) 265-4448 | |
| (888) 777-9691 |
| Full Name | Therapeutic Alliance Group, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 10 Forest Ave Ste 209, Paramus, New Jersey |
| Authorized Official Name and Position | Tracy Allison Hans (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8887779691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance Group, Inc. 10 Forest Ave Ste 209 Paramus NJ 07652-5238 Ph: (551) 265-4448 | Therapeutic Alliance Group, Inc. 10 Forest Ave Ste 209 Paramus NJ 07652-5238 Ph: (551) 265-4448 |
| NPI Number | 1154539716 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 05/11/2024 |
| Certification Date | 05/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154539716 | NPI | - | NPPES |
| 0062308 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00306000 (New Jersey) | Primary |
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