Healthcare Provider Details

I. General information

NPI: 1366964793
Provider Name (Legal Business Name): STRIVING FOR HARMONY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

774 EAYRESTOWN RD
LUMBERTON NJ
08048-3100
US

IV. Provider business mailing address

774 EAYRESTOWN RD
LUMBERTON NJ
08048-3100
US

V. Phone/Fax

Practice location:
  • Phone: 609-784-8217
  • Fax: 609-784-8257
Mailing address:
  • Phone: 609-784-8217
  • Fax: 609-784-8257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05304000
License Number StateNJ

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MRS. DEANNA GAIL BENNER
Title or Position: CEO
Credential: MSW, LCSW
Phone: 609-784-8217