Organization
101 BEHAVIORAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAACOV WEISS LCSW (OWNER)
(732) 552-5087
Entity
Organization
Contact information
Practice address
501 CLINTON ST, CARLYLE, IL 62231-1503
(732) 552-5087
Mailing address
101 N CREST PL, LAKEWOOD, NJ 08701-2984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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