Healthcare Provider Details

I. General information

NPI: 1972192102
Provider Name (Legal Business Name): SPROUTING SOLUTIONS PSYCHOTHERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WELCOME FARMS RD
MONMOUTH JUNCTION NJ
08852-2949
US

IV. Provider business mailing address

25 WELCOME FARMS RD
MONMOUTH JUNCTION NJ
08852-2949
US

V. Phone/Fax

Practice location:
  • Phone: 732-631-4297
  • Fax:
Mailing address:
  • Phone: 732-631-4297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SHENELLE DEPAUL
Title or Position: PSYCHOTHERAPIST
Credential: LCSW
Phone: 732-631-4297