| Wildrose Psychotherapy Llc | |
|
222 Kinderkamack Road Suite 102 Oradell NJ 07649 | |
| (201) 921-5060 | |
| Not Available |
| Full Name | Wildrose Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 Kinderkamack Road, Oradell, New Jersey |
| Authorized Official Name and Position | Tamini Joy Farah (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2019215060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildrose Psychotherapy Llc 222 Kinderkamack Road Suite 102 Oradell NJ 07649 Ph: (201) 921-5060 | Wildrose Psychotherapy Llc 222 Kinderkamack Road Suite 102 Oradell NJ 07649 Ph: (201) 921-5060 |
| NPI Number | 1649983750 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 01/04/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649983750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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