Healthcare Provider Details

I. General information

NPI: 1134033491
Provider Name (Legal Business Name): YOUR TIME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 BOULDER LN
SOMERSET NJ
08873-2926
US

IV. Provider business mailing address

1075 EASTON AVE STE 11-619
SOMERSET NJ
08873-1648
US

V. Phone/Fax

Practice location:
  • Phone: 732-301-6797
  • Fax:
Mailing address:
  • Phone: 732-301-6797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: KHADIJAH H CAFFIE GRANT
Title or Position: OWNER
Credential: LCSW
Phone: 732-379-9962