Daterra Psychotherapy And Wellness, Inc.

LBN: Daterra Psychotherapy And Wellness, Inc.
Daterra Psychotherapy And Wellness, Inc. is an health care organization with primary practice located at 290 Ferry St Bsmt A2 , Newark NJ 07105-3475. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Daterra Psychotherapy And Wellness, Inc. can be contacted via phone (917) 459-2463, or through Gaia, Susana P via phone (917) 622-3749.

Contact Information

Primary practice address
290 Ferry St Bsmt A2 Newark NJ 07105-3475
Phone: (917) 459-2463
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gaia, Susana P MA, LMHC, LPC
Phone: (917) 622-3749

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 007828-1 New York
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00598200 New Jersey

Profile Details

NPI number 1467964734
LBN Legal business name Daterra Psychotherapy And Wellness, Inc.
DBA Doing business as
Authorized official Gaia, Susana P MA, LMHC, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2017
Last updated Oct 26th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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