Healthcare Provider Details

I. General information

NPI: 1760159297
Provider Name (Legal Business Name): EPIC THERAPY AND COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 TALMADGE RD UNIT 429
EDISON NJ
08817-2860
US

IV. Provider business mailing address

1346 BELGRADE AVE
BURLINGTON NJ
08016-3328
US

V. Phone/Fax

Practice location:
  • Phone: 610-505-5519
  • Fax:
Mailing address:
  • Phone: 610-505-5519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. LINSAY BRADLEY HEANRNS
Title or Position: CEO
Credential: LCSW
Phone: 610-505-5519