=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114435336
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HELP STARTS FROM WITHIN
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2018
-----------------------------------------------------
Last Update Date | 07/07/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 704 GINESI DR
-----------------------------------------------------
City | MORGANVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07751-1249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-380-7449
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 704 GINESI DR
-----------------------------------------------------
City | MORGANVILLE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07751-1249
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 732-380-7449
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PSYCHOTHERAPIST
-----------------------------------------------------
Name | MRS. MARISA MONTALVO STEFANI
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 732-380-7449
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 44SC05336400
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------