Organization
A LIFE YOU LOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI KIEBLER-BROGAN LPC (EXECUTIVE DIRECTOR/OWNER)
(908) 456-1871
Entity
Organization
Contact information
Practice address
34 DUMONT RD, PO BOX 953, FAR HILLS, NJ 07931-0793
(908) 456-1871
(908) 456-1871
Mailing address
221 NORTH AVE W, CRANFORD, NJ 07016-2126
(908) 456-1871
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
37PC00083500
NJ
251S00000X
Community/Behavioral Health Agency
Primary
37PC00083500
NJ
Other
Enumeration date
08/15/2017
Last updated
08/23/2017
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