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Organization
SUPPORTIVE THERAPEUTIC SERVICES, LLC
Active
Organization
SUPPORTIVE THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAUSHANAH REID MA, LPC (CEO, THERAPIST)
(973) 325-3132
Entity
Organization
Contact information
Practice address
59 MAIN ST STE 205A, WEST ORANGE, NJ 07052-5333
(973) 325-3132
Mailing address
59 MAIN ST STE 205A, WEST ORANGE, NJ 07052-5333
(973) 325-3132
(973) 789-9625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000745460
UNITED HEALTHCARE
NJ
01
—
5582638
CIGNA
NJ
01
—
900203
HBCBS
NJ
Enumeration date
11/30/2017
Last updated
12/08/2017
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