Healthcare Provider Details

I. General information

NPI: 1003371493
Provider Name (Legal Business Name): HILLARY GEFFNER LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2019
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 TOWN SQUARE PL STE 1201, PMB 1023
JERSEY CITY NJ
07310-1724
US

IV. Provider business mailing address

111 TOWN SQUARE PL STE 1201, PMB 1023
JERSEY CITY NJ
07310-1724
US

V. Phone/Fax

Practice location:
  • Phone: 646-820-5674
  • Fax:
Mailing address:
  • Phone: 646-820-5674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number001478
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: