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THE PASTORS LOUNGE LLC
NPI 1093535395
Counselor - Professional in Edison, NJ

Active since October 12, 2024
11 TAMARACK RD, EDISON, NJ 08820(908) 844-1080 Get Directions Write a Review

NPPES record last updated: October 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Pastors Lounge Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE PASTORS LOUNGE LLC (NPI 1093535395) is a healthcare organization registered as a professional in Edison, New Jersey and active in the NPI registry since October 2024. The organization lists Sheridan Jenice Tennant-straube, Co Owner And Clinician, as its authorized official.

NPPES Registry Identity

NPI1093535395
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameTHE PASTORS LOUNGE LLC
Location Address11 TAMARACK RDEdison, NJ 08820-3630
Mailing Address192 Bennetts LnSomerset, NJ 08873-5051 · (908) 844-1080
Phone(908) 844-1080
Organization SubpartNo
Authorized OfficialSheridan Jenice Tennant-straubeCo Owner And Clinician · (908) 844-1080
Enumeration DateOctober 12, 2024
NPPES CertifiedOctober 12, 2024
✔ NPI 1093535395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
11 TAMARACK RD, Edison, NJ 08820
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Pastors Lounge LLC's NPI number?

The NPI number for The Pastors Lounge LLC is 1093535395. It was assigned to this organization in the NPPES registry on October 12, 2024.

Where is The Pastors Lounge LLC located?

The Pastors Lounge LLC is located at 11 Tamarack Rd, Edison, NJ 08820. The listed phone number is (908) 844-1080.

What is The Pastors Lounge LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for The Pastors Lounge LLC was last updated on October 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.