Organization
HEART & SOUL LLC
Active
Other names
H'ART & SOUL LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ROLAND LAC, NCC (OWNER)
(732) 757-2176
Entity
Organization
Contact information
Practice address
219 LOCUST AVE, WEST LONG BRANCH, NJ 07764-2300
(732) 757-2176
Mailing address
219 LOCUST AVE, WEST LONG BRANCH, NJ 07764-2300
(732) 757-2176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00146500
NJ
101YP2500X
Professional Counselor
37AC00146500
—
101YS0200X
School Counselor
929535
NJ
221700000X
Art Therapist
Primary
37AC00146500
NJ
251C00000X
Developmentally Disabled Services Day Training Agency
993732
NJ
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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