Healthcare Provider Details

I. General information

NPI: 1831056464
Provider Name (Legal Business Name): TOLLYGLOBAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 PARK ST STE 310
MONTCLAIR NJ
07042-2960
US

IV. Provider business mailing address

2933 VAUXHALL RD STE 7
VAUXHALL NJ
07088-1248
US

V. Phone/Fax

Practice location:
  • Phone: 929-888-7956
  • Fax: 929-788-4356
Mailing address:
  • Phone: 929-888-7956
  • Fax: 929-788-4356

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: IYINOLUWA OLUWATOLA
Title or Position: MANAGING MEMBER
Credential: LCSW, LCADC
Phone: 929-888-7956