Healthcare Provider Details

I. General information

NPI: 1043122088
Provider Name (Legal Business Name): SORA PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 E MAIN ST STE 118
DENVILLE NJ
07834-2158
US

IV. Provider business mailing address

95 E MAIN ST STE 118
DENVILLE NJ
07834-2158
US

V. Phone/Fax

Practice location:
  • Phone: 973-255-8774
  • Fax:
Mailing address:
  • Phone: 973-255-8774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHLOE G BLAND
Title or Position: LICENSED PSYCHOLOGIST, CO-OWNER
Credential: PH.D.
Phone: 973-255-8774