# KAIROS PSYCHOTHERAPY & WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kairos Pyschotherapy & Wellness LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134867096
- **Authorized official:** MR. LIONEL LATOUCHE (CO-OWNER)
- **Authorized official phone:** (845) 304-8138

## Contact information

- **Practice address:** 18-20 LACKAWANNA PLZ STE 300, MONTCLAIR, NJ 07042-3642
- **Practice address phone:** (862) 801-2410
- **Mailing address:** 1 MEADOWLANDS PLZ STE 200, EAST RUTHERFORD, NJ 07073-2152
- **Mailing address phone:** (862) 801-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2022
- **Last updated:** 02/20/2023