MEDICARE: EASY BEHAVIORAL HEALTH 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1194466144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASY BEHAVIORAL HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	108 WATCHUNG AVE UNIT 138
Second Line	:
City	:	PLAINFIELD
State	:	NJ
Zip	:	07060-1251
Country	:	US
Telephone Number	:	908-356-5055
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 NETHERWOOD AVE
Second Line	:
City	:	NORTH PLAINFIELD
State	:	NJ
Zip	:	07062-2407
Country	:	US
Telephone Number	:	908-405-8314
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	CATHERINE N OKALI
Credential	:
Telephone Number	:	908-356-5055

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	05/18/2023

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