Organization
EMERGENT CHANGE COUNSELING & HEALING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L MELENDEZ LCSW (OWNER)
(862) 252-4001
Entity
Organization
Contact information
Practice address
18-20 LACKAWANNA PLZ STE 300, MONTCLAIR, NJ 07042-3642
(973) 671-4309
(973) 629-1778
Mailing address
125 GLENRIDGE AVE UNIT 289, MONTCLAIR, NJ 07042-6812
(973) 671-4309
(973) 629-1778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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