4TH AND GROVE LLC NPI 1831762228

NPI Information

  • NPI: 1831762228
  • Provider Name: 4TH AND GROVE LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 480 DEFRANCESCO CIR
    GLASSBORO, NJ
    ZIP 08028
  • Phone: (856) 441-5216

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NPI Details

4TH AND GROVE LLC is a mental health counselor in Glassboro, NJ. 4TH AND GROVE LLC NPI is 1831762228. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

480 DEFRANCESCO CIR
GLASSBORO, NJ
ZIP 08028-906
Phone: (856) 441-5216

The provider's authorized official is Rosana Gilles-lamontagne .
The authorized official title is Owner and has the following contact phone number (856) 441-5216.

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.

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
1101YM0800XCounselorMental HealthYes

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: 11/21/2025

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