Healthcare Provider Details

I. General information

NPI: 1760275762
Provider Name (Legal Business Name): PANAGIOTA SEHAS LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PENNY SEHAS LAMFT

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CHEWS LANDING RD STE 21
LAUREL SPRINGS NJ
08021-2769
US

IV. Provider business mailing address

1405 CHEWS LANDING RD STE 21
LAUREL SPRINGS NJ
08021-2769
US

V. Phone/Fax

Practice location:
  • Phone: 856-463-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FA00053900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: