Active NPIOrganization

Kwenyan Professional Health Services, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) in East Orange, New Jersey

NPI Number1326368267
Practice location
60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106
Fax
866-376-8262
Last updated
June 2, 2011

Kwenyan Professional Health Services, LLC is a healthcare organization based in East Orange, NJ. Kwenyan Professional Health Services, LLC practices in East Orange, NJ. The NPI Number for Kwenyan Professional Health Services, LLC is 1326368267 and holds a License No. 2000479-10 (NJ). The current practice location address for Kwenyan Professional Health Services, LLC is 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 and can be reached out via phone at 973-672-6900 and via fax at 866-376-8262.

Provider Profile Details

NPI Number
1326368267
Provider Name
Kwenyan Professional Health Services, LLC
Provider Entity Type
Organization
Address
60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106
Phone Number
973-672-6900
Fax Number
866-376-8262
Organization Subpart
No
Authorized Official
Mr. Daniel Cassell, MA, MPH, LPC, LCADC · President/Ceo · 973-672-6900
Provider Enumeration Date
June 2, 2010
Last Update Date
June 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Evergreen Pl
Suite 500
East Orange, NJ 07018-2106
Zip
07018-2106
Phone Number
973-672-6900
Fax Number
866-376-8262
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
60 Evergreen Pl
Suite 500
East Orange, NJ 07018-2106
City
East Orange
State
NJ
Zip
07018-2106
Phone Number
973-672-6900
Fax Number
866-376-8262

License Information

License Number
2000479-10
License State
NJ

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 Kwenyan Professional Health Services, LLC?

The NPI number of Kwenyan Professional Health Services, LLC is 1326368267. It was assigned on June 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Kwenyan Professional Health Services, LLC?

Kwenyan Professional Health Services, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in NJ under license number 2000479-10.

Where does Kwenyan Professional Health Services, LLC practice?

The practice location is 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106. The office can be reached at 973-672-6900 (phone) or 866-376-8262 (fax).

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 1326368267 directly on the NPPES registry website.

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