Organization
LIFE COACHING AND CONSULTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA CRISTINA GERACI PHD (OWNER)
(516) 610-9999
Entity
Organization
Contact information
Practice address
151 STATE ROUTE 10 E STE 201, SUCCASUNNA, NJ 07876-1452
(862) 243-0512
Mailing address
19 TAMARI CT, RANDOLPH, NJ 07869-1828
(516) 610-9999
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024884
LICENSE NUMBER
NY
01
—
35SI00662700
LICENSE NUMBER
NJ
Enumeration date
03/27/2025
Last updated
03/27/2025
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