Healthcare Provider Details

I. General information

NPI: 1487572616
Provider Name (Legal Business Name): HOME WITHIN THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 HARDING RD
SCOTCH PLAINS NJ
07076-1407
US

IV. Provider business mailing address

230 HARDING RD
SCOTCH PLAINS NJ
07076-1407
US

V. Phone/Fax

Practice location:
  • Phone: 917-683-5699
  • Fax:
Mailing address:
  • Phone: 917-683-5699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: WENJIN LIU
Title or Position: OWNER
Credential: LMHC, LPC, LPCC
Phone: 917-683-5699