Healthcare Provider Details

I. General information

NPI: 1558856229
Provider Name (Legal Business Name): LINKING HANDS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

662 IRIS CT
TEANECK NJ
07666-6511
US

IV. Provider business mailing address

662 IRIS CT
TEANECK NJ
07666-6511
US

V. Phone/Fax

Practice location:
  • Phone: 917-208-1422
  • Fax:
Mailing address:
  • Phone: 917-208-1422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: IRVING BAEZ
Title or Position: OWNER
Credential:
Phone: 917-208-1422