LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC - NPI 1245714443

Q: What is Life Enhancement Center Of North Jersey LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Life Enhancement Center Of North Jersey Llc NPPES

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

LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC (NPI 1245714443) is a healthcare organization registered as a clinical in West Orange, New Jersey and active in the NPI registry since September 2018. The organization lists Keith Golin, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245714443

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC

Location Address659 EAGLE ROCK AVE STE 4West Orange, NJ 07052-2138

Mailing Address18 Aspen DrLivingston, NJ 07039-1432 · (888) 284-2034

Phone(888) 284-2034

Organization SubpartNo

Authorized OfficialKeith GolinCeo · (888) 284-2034

Enumeration DateSeptember 24, 2018

✔ NPI 1245714443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

659 EAGLE ROCK AVE STE 4, West Orange, NJ 07052

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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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTAL LYNN MOIR LCSW

Social Worker (Clinical)