Healthcare Provider Details
I. General information
NPI: 1326706474
Provider Name (Legal Business Name): SONDERCARE THERAPEUTIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/06/2021
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
140 S BROADWAY STE 7
PITMAN NJ
08071-2235
US
IV. Provider business mailing address
199 N WOODBURY RD STE 203
PITMAN NJ
08071-1275
US
V. Phone/Fax
- Phone: 844-365-7676
- Fax:
- Phone: 609-833-2211
- Fax: 609-300-7345
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTANY
JANSON
Title or Position: OWNER
Credential: LPC
Phone: 609-413-1799