Healthcare Provider Details
I. General information
NPI: 1003749953
Provider Name (Legal Business Name): DIALOGUS THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
436 RUTHERFORD AVE
LYNDHURST NJ
07071-1109
US
IV. Provider business mailing address
436 RUTHERFORD AVE
LYNDHURST NJ
07071-1109
US
V. Phone/Fax
- Phone: 201-948-8946
- Fax:
- Phone: 201-948-8946
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OXANA
RODRIGUEZ PEREZ
Title or Position: OWNER / MANAGING MEMBER
Credential: LPC
Phone: 201-948-8946