Healthcare Provider Details

I. General information

NPI: 1083415426
Provider Name (Legal Business Name): LIGHTENED HEART THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2025
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

304 AMBOY AVE STE E
METUCHEN NJ
08840-2442
US

IV. Provider business mailing address

304 AMBOY AVE STE E
METUCHEN NJ
08840-2442
US

V. Phone/Fax

Practice location:
  • Phone: 732-259-9603
  • Fax:
Mailing address:
  • Phone: 732-259-9603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANET LICHAUCO
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 732-259-9603