Daterra Psychotherapy And Wellness, INC.
Counselor, Professional in Newark, New Jersey
1467964734- Practice location
- 290 Ferry St Bsmt A2, Newark, NJ 07105-3475
- Phone
- 917-459-2463
- Fax
- —
- Last updated
- October 26, 2017
Daterra Psychotherapy And Wellness, INC. is a healthcare organization based in Newark, NJ. Daterra Psychotherapy And Wellness, INC. practices in Newark, NJ. The NPI Number for Daterra Psychotherapy And Wellness, INC. is 1467964734 and holds a License No. 007828-1 (NY). The current practice location address for Daterra Psychotherapy And Wellness, INC. is 290 Ferry St Bsmt A2, Newark, NJ 07105-3475 and can be reached out via phone at 917-459-2463.
Provider Profile Details
- NPI Number
- 1467964734
- Provider Name
- Daterra Psychotherapy And Wellness, INC.
- Provider Entity Type
- Organization
- Address
- 290 Ferry St Bsmt A2, Newark, NJ 07105-3475
- Phone Number
- 917-459-2463
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Susana P Gaia, MA, LMHC, LPC · S-Corp Owner/Psychotherapist · 917-622-3749
- Provider Enumeration Date
- October 26, 2017
- Last Update Date
- October 26, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 290 Ferry St Bsmt A2
Newark, NJ 07105-3475 - City
- Newark
- State
- New Jersey
- Zip
- 07105-3475
- Phone Number
- 917-459-2463
Provider Business Mailing Address Details
- Address
- 5808 Washington St Apt 305
West New York, NJ 07093-1583 - City
- West New York
- State
- NJ
- Zip
- 07093-1583
- Phone Number
- 917-622-3749
License Information
- License Number (1)
- 007828-1
- License State (1)
- NY
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 37PC00598200
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Daterra Psychotherapy And Wellness, INC.?
The NPI number of Daterra Psychotherapy And Wellness, INC. is 1467964734. It was assigned on October 26, 2017 and is currently active in the NPPES registry.
What is the specialty of Daterra Psychotherapy And Wellness, INC.?
Daterra Psychotherapy And Wellness, INC. is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NY under license number 007828-1.
Where does Daterra Psychotherapy And Wellness, INC. practice?
The practice location is 290 Ferry St Bsmt A2, Newark, NJ 07105-3475. The office can be reached at 917-459-2463 (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 1467964734 directly on the NPPES registry website.