Active NPIIndividual providerSole proprietor

Adia J Terry-Puryear, LCSW

Counselor, Mental Health in Newark, New Jersey

NPI Number1386271211
Practice location
201 Lyons Ave, Newark, NJ 07112-2027
Fax
—
Last updated
March 23, 2020

Adia J Terry-Puryear is a Counselor, Mental Health based in Newark, NJ. Adia J Terry-Puryear practices in Newark, NJ and has the professional credentials of LCSW. The NPI Number for Adia J Terry-Puryear is 1386271211 and holds a License No. 44SC05860600 (NJ). The current practice location address for Adia J Terry-Puryear is 201 Lyons Ave, Newark, NJ 07112-2027 and can be reached out via phone at 973-926-7289.

Provider Profile Details

NPI Number
1386271211
Provider Name
Adia J Terry-Puryear
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
201 Lyons Ave, Newark, NJ 07112-2027
Phone Number
973-926-7289
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 23, 2020
Last Update Date
March 23, 2020
Certification Date
March 23, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
Zip
07112-2027
Phone Number
973-926-7289
Newark, NJ 07112Get directions →

Provider Business Mailing Address Details

Address
201 Lyons Ave
Newark, NJ 07112-2027
City
Newark
State
NJ
Zip
07112-2027
Phone Number
973-926-7289

License Information

License Number
44SC05860600
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.

Other Counselor, Mental Health providers near Newark, NJ

View all Counselor, Mental Health providers in Newark →

Frequently Asked Questions

What is the NPI number of Adia J Terry-Puryear, LCSW?

The NPI number of Adia J Terry-Puryear, LCSW is 1386271211. It was assigned on March 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Adia J Terry-Puryear, LCSW?

Adia J Terry-Puryear, LCSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 44SC05860600.

Where does Adia J Terry-Puryear, LCSW practice?

The practice location is 201 Lyons Ave, Newark, NJ 07112-2027. The office can be reached at 973-926-7289 (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 1386271211 directly on the NPPES registry website.

Browse related providers