| Vitality & Serenity Counseling Llc | |
|
24 Landsdown Rd Annandale NJ 08801-3603 | |
| (732) 440-8963 | |
| Not Available |
| Full Name | Vitality & Serenity Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 Landsdown Rd, Annandale, New Jersey |
| Authorized Official Name and Position | Annie Russo (CEO) |
| Authorized Official Contact | 7324408963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality & Serenity Counseling Llc 24 Landsdown Rd Annandale NJ 08801-3603 Ph: (732) 440-8963 | Vitality & Serenity Counseling Llc 24 Landsdown Rd Annandale NJ 08801-3603 Ph: (732) 440-8963 |
| NPI Number | 1730996661 |
|---|---|
| Provider Enumeration Date | 12/13/2024 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730996661 | NPI | - | NPPES |
| 1023586146 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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