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NPI Code Detail

MEDICARE: TAKE BACK CONTROL LLC

MEDICARE: TAKE BACK CONTROL 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1871446385
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAKE BACK CONTROL LLC
Provider Business Mailing Address
First Line : 25 HARVEST HILL DR
Second Line :
City : STOCKTON
State : NJ
Zip : 08559-1915
Country : US
Telephone Number : 908-534-6505
Fax Number : 331-284-6380
Provider Business Practice Location Address
First Line : 221 RIVER ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-5989
Country : US
Telephone Number : 908-534-6505
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAELA K TRIMBLE
Credential :
Telephone Number : 908-524-6505
Provider Enumeration Date : 02/16/2026
Last Update Date : 02/16/2026

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Directions to “TAKE BACK CONTROL LLC ” Practice Location

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