Illuminating Possibilities Therapeutic Services

LBN: Illuminating Possibilities Therapeutic Services
Illuminating Possibilities Therapeutic Services is an health care organization with primary practice located at 983 Summit Ave , Jersey City NJ 07307-3601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Illuminating Possibilities Therapeutic Services can be contacted via phone (201) 284-9136, or through Fedak, Larissa via phone (201) 284-9136.

Contact Information

Primary practice address
983 Summit Ave Jersey City NJ 07307-3601
Phone: (201) 284-9136
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fedak, Larissa EDD SLP BCBA-D LBA
Phone: (201) 284-9136

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1538728209
LBN Legal business name Illuminating Possibilities Therapeutic Services
DBA Doing business as
Authorized official Fedak, Larissa EDD SLP BCBA-D LBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2019
Last updated Jun 11th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538728209 NPPES
New Jersey Other 1235376997 PRIVATE INSURANCE

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