Healthcare Provider Details
I. General information
NPI: 1780266767
Provider Name (Legal Business Name): CATHERINE F OWENS LCSW LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2021
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
261 JAMES ST STE 1C
MORRISTOWN NJ
07960-6348
US
IV. Provider business mailing address
1505 MEADOW BROOK CT
WHIPPANY NJ
07981-1240
US
V. Phone/Fax
- Phone: 973-946-8030
- Fax:
- Phone: 973-769-9127
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHERINE
F
OWENS
Title or Position: OWNER
Credential: LCSW
Phone: 973-769-9127