MEDICARE: DIALOGUS THERAPY SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1003749953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIALOGUS THERAPY SERVICES LLC

Provider Business Mailing Address
First Line	:	436 RUTHERFORD AVE
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-1109
Country	:	US
Telephone Number	:	201-948-8946
Fax Number	:

Provider Business Practice Location Address
First Line	:	436 RUTHERFORD AVE
Second Line	:
City	:	LYNDHURST
State	:	NJ
Zip	:	07071-1109
Country	:	US
Telephone Number	:	201-948-8946
Fax Number	:

Authorized Official
Title or Position	:	OWNER / MANAGING MEMBER
Name	:	OXANA RODRIGUEZ PEREZ
Credential	:	LPC
Telephone Number	:	201-948-8946

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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