Healthcare Provider Details

I. General information

NPI: 1124707807
Provider Name (Legal Business Name): CONTINUING BONDS THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 W POINT PLEASANT AVE
OCEAN GATE NJ
08740-1454
US

IV. Provider business mailing address

PO BOX 354
OCEAN GATE NJ
08740-0354
US

V. Phone/Fax

Practice location:
  • Phone: 732-614-1062
  • Fax:
Mailing address:
  • Phone: 732-614-1062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARGARET BAUER
Title or Position: AUTHORIZED REPRESENTATIVE
Credential: LCSW
Phone: 732-614-1062