Healthcare Provider Details

I. General information

NPI: 1760257703
Provider Name (Legal Business Name): MENTAL HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 STALLION CIR E
TOMS RIVER NJ
08755-1609
US

IV. Provider business mailing address

1501 STALLION CIR E
TOMS RIVER NJ
08755-1609
US

V. Phone/Fax

Practice location:
  • Phone: 848-239-8008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ZAIN MEMON
Title or Position: MD
Credential:
Phone: 848-239-8008