Healthcare Provider Details

I. General information

NPI: 1326968504
Provider Name (Legal Business Name): NURTURE DEVELOP & ACHIEVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 JFK PKWY
SHORT HILLS NJ
07078-2704
US

IV. Provider business mailing address

51 JFK PKWY
SHORT HILLS NJ
07078-2704
US

V. Phone/Fax

Practice location:
  • Phone: 973-223-2811
  • Fax:
Mailing address:
  • Phone: 973-223-2811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NICHOLE L DAVIS
Title or Position: CEO
Credential:
Phone: 973-223-2811