Active NPIOrganization

King Of Hearts Life Enhancement Services, LLC

Counselor, Addiction (Substance Use Disorder) in Brick, New Jersey

NPI Number1538551072
Practice location
522 Brick Blvd, Brick, NJ 08723-6089
Fax
732-475-6265
Last updated
February 20, 2015

King Of Hearts Life Enhancement Services, LLC is a healthcare organization based in Brick, NJ. King Of Hearts Life Enhancement Services, LLC practices in Brick, NJ. The NPI Number for King Of Hearts Life Enhancement Services, LLC is 1538551072 and holds a License No. 37PC00161400 (NJ). The current practice location address for King Of Hearts Life Enhancement Services, LLC is 522 Brick Blvd, Brick, NJ 08723-6089 and can be reached out via phone at 732-240-2545 and via fax at 732-475-6265.

Provider Profile Details

NPI Number
1538551072
Provider Name
King Of Hearts Life Enhancement Services, LLC
Provider Entity Type
Organization
Address
522 Brick Blvd, Brick, NJ 08723-6089
Phone Number
732-240-2545
Fax Number
732-475-6265
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Organization Subpart
No
Authorized Official
Dr. Tara Michelle King, LPC, LCADC · Director · 732-240-2545
Provider Enumeration Date
February 20, 2015
Last Update Date
February 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
522 Brick Blvd
Brick, NJ 08723-6089
City
Brick
Zip
08723-6089
Phone Number
732-240-2545
Fax Number
732-475-6265
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
522 Brick Blvd
Brick, NJ 08723-6089
City
Brick
State
NJ
Zip
08723-6089
Phone Number
732-240-2545
Fax Number
732-475-6265

License Information

License Number (1)
37PC00161400
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
License Number (2)
37LC00034800
License State (2)
NJ
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 King Of Hearts Life Enhancement Services, LLC?

The NPI number of King Of Hearts Life Enhancement Services, LLC is 1538551072. It was assigned on February 20, 2015 and is currently active in the NPPES registry.

What is the specialty of King Of Hearts Life Enhancement Services, LLC?

King Of Hearts Life Enhancement Services, LLC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37PC00161400.

Where does King Of Hearts Life Enhancement Services, LLC practice?

The practice location is 522 Brick Blvd, Brick, NJ 08723-6089. The office can be reached at 732-240-2545 (phone) or 732-475-6265 (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 1538551072 directly on the NPPES registry website.

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