Healthcare Provider Details

I. General information

NPI: 1871152959
Provider Name (Legal Business Name): IN-SESSION PSYCHOTHERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W. PASSAIC STREET OFFICE #30
ROCHELLE PARK NJ
07662
US

IV. Provider business mailing address

151 W. PASSAIC STREET OFFICE #30
ROCHELLE PARK NJ
07662
US

V. Phone/Fax

Practice location:
  • Phone: 201-500-8579
  • Fax:
Mailing address:
  • Phone: 201-500-8579
  • 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 Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE LEONCINI
Title or Position: PSYCHOTHERAPIST
Credential: MS, LCPC, CCMHC, NCC
Phone: 201-632-3778