Healthcare Provider Details

I. General information

NPI: 1407566334
Provider Name (Legal Business Name): GRISHMA PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2022
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 LARKSPUR LN
MONROE TOWNSHIP NJ
08831-7301
US

IV. Provider business mailing address

24 LARKSPUR LN
MONROE TOWNSHIP NJ
08831-7301
US

V. Phone/Fax

Practice location:
  • Phone: 267-418-9135
  • Fax:
Mailing address:
  • Phone: 267-418-9135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01283300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00675300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: