Healthcare Provider Details
I. General information
NPI: 1700713849
Provider Name (Legal Business Name): PACE & PATH PSYCHOTHERAPY AND TRAUMA RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
107 TAYLOR AVE
HIGHTSTOWN NJ
08520-3816
US
IV. Provider business mailing address
107 TAYLOR AVE
HIGHTSTOWN NJ
08520-3816
US
V. Phone/Fax
- Phone: 732-496-6507
- Fax:
- Phone: 732-496-6507
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MORGAN
CASCELLO
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LCSW
Phone: 732-496-6507