Ms. Konniesha M Moulton, LMFT
Marriage & Family Therapist in Upper Montclair, New Jersey
1083126866- Practice location
- 622-624 Valley RD Ste 6D, Upper Montclair, NJ 07043-1462
- Phone
- 862-621-0833
- Fax
- —
- Last updated
- November 1, 2017
Konniesha M Moulton is a Marriage & Family Therapist based in Upper Montclair, NJ. Konniesha M Moulton practices in Upper Montclair, NJ and has the professional credentials of LMFT. The NPI Number for Konniesha M Moulton is 1083126866 and holds a License No. 37FI00177900 (NJ). The current practice location address for Konniesha M Moulton is 622-624 Valley RD Ste 6D, Upper Montclair, NJ 07043-1462 and can be reached out via phone at 862-621-0833.
Provider Profile Details
- NPI Number
- 1083126866
- Provider Name
- Konniesha M Moulton
- Credential
- LMFT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 622-624 Valley RD Ste 6D, Upper Montclair, NJ 07043-1462
- Phone Number
- 862-621-0833
- Primary Taxonomy
- Marriage & Family Therapist · 106H00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 1, 2017
- Last Update Date
- November 1, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 622-624 Valley RD Ste 6D
Upper Montclair, NJ 07043-1462 - City
- Upper Montclair
- State
- New Jersey
- Zip
- 07043-1462
- Phone Number
- 862-621-0833
Provider Business Mailing Address Details
- Address
- 68 Prospect St
Bloomfield, NJ 07003-3225 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3225
- Phone Number
- 862-621-0833
License Information
- License Number
- 37FI00177900
- License State
- NJ
- Taxonomy
- Marriage & Family Therapist · 106H00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Marriage & Family Therapists near Upper Montclair, NJ
View all Marriage & Family Therapists in Upper Montclair →- Ms. Virginia I Michaels, LCSWMarriage & Family Therapist · NPI 1255532362
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Frequently Asked Questions
What is the NPI number of Ms. Konniesha M Moulton, LMFT?
The NPI number of Ms. Konniesha M Moulton, LMFT is 1083126866. It was assigned on November 1, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Konniesha M Moulton, LMFT?
Ms. Konniesha M Moulton, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in NJ under license number 37FI00177900.
Where does Ms. Konniesha M Moulton, LMFT practice?
The practice location is 622-624 Valley RD Ste 6D, Upper Montclair, NJ 07043-1462. The office can be reached at 862-621-0833 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083126866 directly on the NPPES registry website.