ELLYN BREESE
NPI 1164120887
Counselor - Professional in Red Bank, NJ
- Individual
- Female
- Counselor
- Professional
About ELLYN BREESE
This page provides the complete NPI Profile along with additional information for Ellyn Breese, a provider established in Red Bank, New Jersey with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1164120887 assigned on February 2023. The practitioner's primary taxonomy code is 101YP2500X with license number 37AC00694100 (NJ). The provider is registered as an individual and her NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1164120887 Verify this NPI
- Provider Name
- ELLYN BREESE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 252 BROAD ST STE 6 RED BANK, NJ 07701
- Location Phone
- (732) 252-7314
- Mailing Address
- 252 BROAD ST STE 6 RED BANK, NJ 07701
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-21-2023
- Last Update Date
- 02-21-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 37AC00694100
- License State
- NJ
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
RED BANK, NJ 07701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164120887, enumerated as an "individual" on February 21, 2023.
The provider is located at 252 BROAD ST STE 6 RED BANK, NJ 07701 and the phone number is (732) 252-7314.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
