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Organization

SEASONS OF LIFE THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMANDA ROBIN LPC (LPC, CEO)
(201) 681-4686
Entity
Organization

Contact information

Practice address
5 OAKWOOD ROAD, #1091, ALLENDALE, NJ 07401
(201) 681-4686
Mailing address
501 ROUTE 17 SOUTH STE 1, #1091, PARAMUS, NJ 07652
(201) 681-4686

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780396432
NPI OF PROVIDER
NJ
Enumeration date
01/13/2023
Last updated
01/13/2023
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