Healthcare Provider Details

I. General information

NPI: 1265885644
Provider Name (Legal Business Name): VOICES FOR RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2016
Last Update Date: 07/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 COLUMBIA TPKE SUITE 109
FLORHAM PARK NJ
07932-1210
US

IV. Provider business mailing address

248 COLUMBIA TPKE SUITE 109
FLORHAM PARK NJ
07932-1210
US

V. Phone/Fax

Practice location:
  • Phone: 862-485-0328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number
License Number StateNJ

VIII. Authorized Official

Name: LEIGH KOLODNY-KRAFT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 862-485-0328