Healthcare Provider Details

I. General information

NPI: 1376248328
Provider Name (Legal Business Name): THE TALK ZONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 ROUTE 70 STE 5102B
MANASQUAN NJ
08736-2609
US

IV. Provider business mailing address

2640 ROUTE 70 STE 5102B
MANASQUAN NJ
08736-2609
US

V. Phone/Fax

Practice location:
  • Phone: 732-614-3364
  • Fax:
Mailing address:
  • Phone: 732-614-3364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MIZRAHI
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: APN
Phone: 732-614-3364