LUDDY SERULLE
NPI 1831954080
Counselor - Professional in Fort Lee, NJ
Active since February 16, 2024
About Luddy Serulle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUDDY SERULLE (NPI 1831954080) is an individual professional provider in Fort Lee, New Jersey, licensed in New Jersey (37AC00771500) and active in the NPI registry since February 2024.
NPPES Registry Identity
NPI1831954080
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLUDDY SERULLE
Location Address2185 LEMOINEAVE#1GFort Lee, NJ 07650-1464
Mailing Address2185 Lemoine Ave Suite IgFort Lee, NJ 07024-4239 · (877) 959-8180
Phone(877) 959-8180
Sole ProprietorYes
Enumeration DateFebruary 16, 2024
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1831954080 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37AC00771500
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
The NPI number assigned to this healthcare provider is 1831954080, enumerated as an "individual" on February 16, 2024.
The provider is located at 2185 LEMOINEAVE#1G FORT LEE, NJ 07650 and the phone number is (877) 959-8180.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
