Healthcare Provider Details

I. General information

NPI: 1508639469
Provider Name (Legal Business Name): SK THERAPY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2023
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1285 BROAD ST
BLOOMFIELD NJ
07003-3045
US

IV. Provider business mailing address

16 HAINES DR
BLOOMFIELD NJ
07003-2906
US

V. Phone/Fax

Practice location:
  • Phone: 732-272-2855
  • Fax:
Mailing address:
  • Phone: 732-272-2855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SWETA KANSAGRA
Title or Position: OWNER/CEO
Credential: LCSW
Phone: 732-272-2855