Absolutely Driven Mental Health Provider LLC
Nurse Practitioner, Psych/Mental Health in Montclair, New Jersey
1548616840- Practice location
- 100 Valley RD, Suite1, Montclair, NJ 07042-2200
- Phone
- 201-574-5640
- Fax
- 973-783-8777
- Last updated
- September 12, 2016
Absolutely Driven Mental Health Provider LLC is a healthcare organization based in Montclair, NJ. Absolutely Driven Mental Health Provider LLC practices in Montclair, NJ. The NPI Number for Absolutely Driven Mental Health Provider LLC is 1548616840 and holds a License No. 26NJ00453700 (NJ). The current practice location address for Absolutely Driven Mental Health Provider LLC is 100 Valley RD, Suite1, Montclair, NJ 07042-2200 and can be reached out via phone at 201-574-5640 and via fax at 973-783-8777.
Provider Profile Details
- NPI Number
- 1548616840
- Provider Name
- Absolutely Driven Mental Health Provider LLC
- Provider Entity Type
- Organization
- Address
- 100 Valley RD, Suite1, Montclair, NJ 07042-2200
- Phone Number
- 201-574-5640
- Fax Number
- 973-783-8777
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Valentina Som · Healthcare Provider · 201-574-5640
- Provider Enumeration Date
- May 5, 2016
- Last Update Date
- September 12, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Valley RD
Suite1
Montclair, NJ 07042-2200 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2200
- Phone Number
- 201-574-5640
- Fax Number
- 973-783-8777
Provider Business Mailing Address Details
- Address
- 100 Valley RD
Suite1
Montclair, NJ 07042-2200 - City
- Montclair
- State
- NJ
- Zip
- 07042-2200
License Information
- License Number
- 26NJ00453700
- License State
- NJ
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Absolutely Driven Mental Health Provider LLC?
The NPI number of Absolutely Driven Mental Health Provider LLC is 1548616840. It was assigned on May 5, 2016 and is currently active in the NPPES registry.
What is the specialty of Absolutely Driven Mental Health Provider LLC?
Absolutely Driven Mental Health Provider LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NJ under license number 26NJ00453700.
Where does Absolutely Driven Mental Health Provider LLC practice?
The practice location is 100 Valley RD, Suite1, Montclair, NJ 07042-2200. The office can be reached at 201-574-5640 (phone) or 973-783-8777 (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 1548616840 directly on the NPPES registry website.