Organization
EMPOWERED HEARTS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI BITONDO LPC, ATR-BC (OWNER)
(973) 370-3006
Entity
Organization
Contact information
Practice address
171 W MAIN ST, ROCKAWAY, NJ 07866-3319
(973) 370-3006
Mailing address
171 W MAIN ST, ROCKAWAY, NJ 07866-3319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00575700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477910388
NPI
—
Enumeration date
02/16/2017
Last updated
02/16/2017
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