Organization
EMERGE- THE COUNSELING AND COACHING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANVI MATHEW LPC (CLINICAL DIRECTOR/ THERAPIST)
(201) 953-0819
Entity
Organization
Contact information
Practice address
162 E RIDGEWOOD AVE STE 2, RIDGEWOOD, NJ 07450-3846
(517) 750-5755
Mailing address
42 2ND AVE, HAWTHORNE, NJ 07506-2408
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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