Kwenyan Professional Health Services, LLC
Counselor, Professional in East Orange, New Jersey
1629221239- Practice location
- 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106
- Phone
- 973-672-6900
- 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 1629221239 and holds a License No. 37LC00040000 (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
- 1629221239
- 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
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Mr. Daniel Cassell, MA, MPH, LPC, LCADC · Executive Director/President · 973-672-6900
- Provider Enumeration Date
- October 28, 2008
- 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 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-2106
- Phone Number
- 973-672-6900
- Fax Number
- 866-376-8262
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 (1)
- 37LC00040000
- License State (1)
- NJ
- Taxonomy (1)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- License Number (2)
- 26NR13660400
- License State (2)
- NJ
- Taxonomy (2)
- Home Health Aide · 374U00000X
- License Number (3)
- LPC004779
- License State (3)
- PA
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X
- License Number (4)
- 37PC00330900
- License State (4)
- NJ
- Taxonomy (4)
- 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 Kwenyan Professional Health Services, LLC?
The NPI number of Kwenyan Professional Health Services, LLC is 1629221239. It was assigned on October 28, 2008 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 Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37LC00040000.
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 1629221239 directly on the NPPES registry website.