Healthcare Provider Details

I. General information

NPI: 1225517204
Provider Name (Legal Business Name): MENTAL HEALTH ASSOCIATION OF ESSEX AND MORRIS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1373 BROAD ST STE 312
CLIFTON NJ
07013-4200
US

IV. Provider business mailing address

33 S FULLERTON AVE
MONTCLAIR NJ
07042-3358
US

V. Phone/Fax

Practice location:
  • Phone: 973-509-9777
  • Fax:
Mailing address:
  • Phone: 973-509-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: NADINE VENEZIA
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 973-509-9777