Healthcare Provider Details

I. General information

NPI: 1285565960
Provider Name (Legal Business Name): AMENSA PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CENTRAL PL
WEST ORANGE NJ
07052-4302
US

IV. Provider business mailing address

28 CENTRAL PL
WEST ORANGE NJ
07052-4302
US

V. Phone/Fax

Practice location:
  • Phone: 732-893-7331
  • Fax:
Mailing address:
  • Phone: 732-893-7331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. SONIA MULERO
Title or Position: OWNER
Credential: LCSW
Phone: 732-893-7331