Organization
LEADING YOUTH THROUGH EXPERIENCE, LLC
Active
Organization
LEADING YOUTH THROUGH EXPERIENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MARK ROSENBERG (OWNER/EXECUTIVE DIRECTOR)
(732) 458-3201
Entity
Organization
Contact information
Practice address
2 ARROWHEAD CT, FREEHOLD, NJ 07728-9577
(732) 458-3201
(732) 458-3269
Mailing address
2 ARROWHEAD CT, FREEHOLD, NJ 07728-9577
(732) 458-3201
(732) 458-3269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225240633
—
NJ
Enumeration date
04/19/2018
Last updated
04/19/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up