Healthcare Provider Details

I. General information

NPI: 1679494835
Provider Name (Legal Business Name): SIERRA LAGUERRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 MOUNTAIN AVE
SPRINGFIELD NJ
07081-2215
US

IV. Provider business mailing address

264 MOUNTAIN AVE
SPRINGFIELD NJ
07081-2215
US

V. Phone/Fax

Practice location:
  • Phone: 973-988-4241
  • Fax: 973-909-8821
Mailing address:
  • Phone: 973-988-4241
  • Fax: 973-909-8821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. SIERRA ALEXIS LAGUERRE
Title or Position: THERAPIST
Credential: LPC
Phone: 201-621-1301