Healthcare Provider Details

I. General information

NPI: 1639061252
Provider Name (Legal Business Name): MOVING THROUGH THERAPY & EMBODIED WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2025
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ELM ST
MORRISTOWN NJ
07960-8804
US

IV. Provider business mailing address

20 ELM ST
MORRISTOWN NJ
07960-8804
US

V. Phone/Fax

Practice location:
  • Phone: 973-327-3017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225600000X
TaxonomyDance Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALIZA ROTH
Title or Position: OWNER
Credential:
Phone: 973-327-3017