Active NPIIndividual provider

Susan M Tully, LAC

Counselor, Mental Health in Denville, New Jersey

NPI Number1225744402
Practice location
9 Broadway Ste 20, Denville, NJ 07834-2854
Fax
—
Last updated
January 30, 2023

Susan Marie Tully is a Counselor, Mental Health based in Denville, NJ. Susan Marie Tully practices in Denville, NJ and has the professional credentials of LAC. The NPI Number for Susan Marie Tully is 1225744402 and holds a License No. 37AC00548800 (NJ). The current practice location address for Susan Marie Tully is 9 Broadway Ste 20, Denville, NJ 07834-2854 and can be reached out via phone at 862-259-5506.

Provider Profile Details

NPI Number
1225744402
Provider Name
Susan Marie Tully
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
9 Broadway Ste 20, Denville, NJ 07834-2854
Phone Number
862-259-5506
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Susan Marie Kent (Former Name)
Provider Enumeration Date
January 30, 2023
Last Update Date
January 30, 2023
Certification Date
January 30, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
9 Broadway Ste 20
Denville, NJ 07834-2854
Zip
07834-2854
Phone Number
862-259-5506
Denville, NJ 07834Get directions →

Provider Business Mailing Address Details

Address
22 Mile Dr
Chester, NJ 07930-2802
City
Chester
State
NJ
Zip
07930-2802
Phone Number
973-229-5452

License Information

License Number
37AC00548800
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan M Tully, LAC?

The NPI number of Susan M Tully, LAC is 1225744402. It was assigned on January 30, 2023 and is currently active in the NPPES registry.

What is the specialty of Susan M Tully, LAC?

Susan M Tully, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00548800.

Where does Susan M Tully, LAC practice?

The practice location is 9 Broadway Ste 20, Denville, NJ 07834-2854. The office can be reached at 862-259-5506 (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 1225744402 directly on the NPPES registry website.

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