Healthcare Provider Details

I. General information

NPI: 1255467015
Provider Name (Legal Business Name): URBAN CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 S ORANGE AVE
EAST ORANGE NJ
07018-2313
US

IV. Provider business mailing address

819 S ORANGE AVE
EAST ORANGE NJ
07018-2313
US

V. Phone/Fax

Practice location:
  • Phone: 973-674-2004
  • Fax: 973-674-2006
Mailing address:
  • Phone: 973-674-2004
  • Fax: 973-674-2006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0025364
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0025364
License Number StateNJ

VIII. Authorized Official

Name: MS. CYNTHIA TYLER WHITE
Title or Position: CFO
Credential: BS
Phone: 973-674-2004