Healthcare Provider Details

I. General information

NPI: 1043729197
Provider Name (Legal Business Name): COACHING FROM EXPERIENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2017
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 MOUNT AIRY RD STE 100
BASKING RIDGE NJ
07920-2338
US

IV. Provider business mailing address

233 MOUNT AIRY RD STE 100
BASKING RIDGE NJ
07920-2338
US

V. Phone/Fax

Practice location:
  • Phone: 908-424-9198
  • Fax:
Mailing address:
  • Phone: 908-424-9198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE M ROMANELLO
Title or Position: CEO
Credential: MS
Phone: 908-424-9198