Healthcare Provider Details
I. General information
NPI: 1881936847
Provider Name (Legal Business Name): THERAPY RESOURCES OF MORRIS COUNTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/18/2013
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
25 LINDSLEY DR STE 300
MORRISTOWN NJ
07960-4456
US
IV. Provider business mailing address
25 LINDSLEY DR STE 300
MORRISTOWN NJ
07960-4456
US
V. Phone/Fax
- Phone: 973-998-7900
- Fax: 973-998-7910
- Phone: 973-998-7900
- Fax: 973-998-7910
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | 37LC00026600 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC00322700 |
| License Number State | NJ |
VIII. Authorized Official
Name:
CHERYL
GARODNICK
Title or Position: OWNER/OPERATOR
Credential: LPC, LCADC, ACS, CCS
Phone: 973-998-7900