Healthcare Provider Details

I. General information

NPI: 1952021453
Provider Name (Legal Business Name): JUST THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 KNIGHTSBRIDGE RD STE 525
PISCATAWAY NJ
08854-3963
US

IV. Provider business mailing address

30 KNIGHTSBRIDGE RD STE 525
PISCATAWAY NJ
08854-3963
US

V. Phone/Fax

Practice location:
  • Phone: 908-444-6603
  • Fax:
Mailing address:
  • Phone: 908-444-6603
  • 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 Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: OLIVIA BENOIT
Title or Position: OWNER
Credential: LPC LCADC
Phone: 973-223-3608