Healthcare Provider Details

I. General information

NPI: 1730006008
Provider Name (Legal Business Name): NJ MENTAL HEALTH GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 WILLOW TURN UNIT B
MOUNT LAUREL NJ
08054-3142
US

IV. Provider business mailing address

109 WILLOW TURN UNIT B
MOUNT LAUREL NJ
08054-3142
US

V. Phone/Fax

Practice location:
  • Phone: 856-548-3248
  • Fax:
Mailing address:
  • Phone: 856-548-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SYDNEY PIERRE FRANCIS
Title or Position: OWNER/CEO
Credential: MS, CPRP
Phone: 856-548-3248