# QUEENSHADE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902615594
- **Authorized official:** FOLASHADE ESTHER ADEBIYI (DIRECTOR)
- **Authorized official phone:** (862) 576-3281

## Contact information

- **Practice address:** 1200 CLINTON AVE STE 100C, IRVINGTON, NJ 07111-2070
- **Practice address phone:** (862) 576-3281
- **Mailing address:** 33 RICH ST, IRVINGTON, NJ 07111-2020
- **Mailing address phone:** (862) 576-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 12/10/2025