Healthcare Provider Details

I. General information

NPI: 1235518077
Provider Name (Legal Business Name): LETAPEL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 03/12/2022
Certification Date: 03/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CEDAR LN STE 2E
TEANECK NJ
07666-4457
US

IV. Provider business mailing address

99 WALL ST STE 1982
NEW YORK NY
10005-4301
US

V. Phone/Fax

Practice location:
  • Phone: 833-538-2735
  • Fax: 631-201-3212
Mailing address:
  • Phone: 844-538-2735
  • Fax: 631-201-3212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateNY
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNY

VIII. Authorized Official

Name: STEPHORNA PATRICIA BARNES-PATTERSON
Title or Position: OWNER
Credential: LCSW
Phone: 833-538-2735