Healthcare Provider Details

I. General information

NPI: 1215853106
Provider Name (Legal Business Name): OPEN ROADS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 UNION AVE STE 4
MIDDLESEX NJ
08846-1039
US

IV. Provider business mailing address

127 UNION AVE STE 4
MIDDLESEX NJ
08846-1039
US

V. Phone/Fax

Practice location:
  • Phone: 973-946-8027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NORMA ALICIA MORENO
Title or Position: OWNER/THERAPIST
Credential: LCSW
Phone: 917-208-2582