Healthcare Provider Details

I. General information

NPI: 1346706017
Provider Name (Legal Business Name): BELIEVE IN ME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2019
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

791 ROUTE 10 E
RANDOLPH NJ
07869-1933
US

IV. Provider business mailing address

791 ROUTE 10 E
RANDOLPH NJ
07869-1933
US

V. Phone/Fax

Practice location:
  • Phone: 973-216-1008
  • Fax:
Mailing address:
  • Phone: 973-216-1008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AUBREY BROCK
Title or Position: CONTRACTING SPECIALIST
Credential:
Phone: 765-628-7400