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NPI Code Detail

MEDICARE: EMBRACING UNCERTAINTY THERAPY AND WELLNESS, LLC

MEDICARE: EMBRACING UNCERTAINTY THERAPY AND WELLNESS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1760054464
Entity Type Code : Organization
Provider Name (Legal Business Name) : EMBRACING UNCERTAINTY THERAPY AND WELLNESS, LLC
Provider Business Mailing Address
First Line : 27 S 5TH AVE
Second Line :
City : HIGHLAND PARK
State : NJ
Zip : 08904-2604
Country : US
Telephone Number : 201-367-8915
Fax Number :
Provider Business Practice Location Address
First Line : 59 FRANKLIN ST STE 1
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-8635
Country : US
Telephone Number : 201-367-8915
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRETT SHELDON
Credential : LCSW
Telephone Number : 201-367-8915
Provider Enumeration Date : 07/13/2021
Last Update Date : 07/13/2021

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