Organization
SAGE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARONDA BEVERLY (COO)
(856) 436-0035
Entity
Organization
Contact information
Practice address
22 N BROAD ST FL 2, WOODBURY, NJ 08096-4603
(856) 436-0035
(833) 740-4280
Mailing address
22 N BROAD ST FL 2, WOODBURY, NJ 08096-4603
(856) 436-0035
(833) 740-4280
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026780
—
NJ
Enumeration date
01/09/2024
Last updated
10/01/2025
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