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General NPI Number Information
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NPI Number | 1972396992
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Entity Type | Organization
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Legal Business Name | POWER HOUSE PSYCHOTHERAPY & ADDICTION, LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 45 ACADEMY ST STE 303
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City | NEWARK
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State | NJ
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Zip | 07102-2900
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Country | US
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Telephone | 973-878-3900
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Fax | 973-878-3809
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Provider Business Mailing Address
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Address Line | 45 ACADEMY ST STE 303
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City | NEWARK
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State | NJ
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Zip | 07102-2900
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Country | US
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Telephone | 973-878-3900
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Fax | 973-878-3809
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Authorized Official
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Title or Position | ADMINISTRATOR AND CLINICAL DIRECTOR
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Name | MS. TEMITOPE S OLUGUNA
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Credential | MSW,LCSW,LCADC,CCS
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Telephone | 973-878-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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