DATERRA PSYCHOTHERAPY AND WELLNESS INC. NPI 1467964734

NPI Information

NPI: 1467964734
Provider Name: DATERRA PSYCHOTHERAPY AND WELLNESS, INC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
290 FERRY ST BSMT A2
NEWARK, NJ
ZIP 07105
Phone: (917) 459-2463
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DATERRA PSYCHOTHERAPY AND WELLNESS, INC. is a professional counselor in Newark, NJ. DATERRA PSYCHOTHERAPY AND WELLNESS, INC. NPI is 1467964734. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

290 FERRY ST BSMT A2
NEWARK, NJ
ZIP 07105-475
Phone: (917) 459-2463

The provider's authorized official is Susana P Gaia .
The authorized official title is S-corp Owner/psychotherapist and has the following contact phone number (917) 622-3749.

The enumeration date for this NPI number is 10/26/2017 and was last updated on 10/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	007828-1	NEW YORK	No
2	101YP2500X	Counselor	Professional	37PC00598200	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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