Organization
ELEVATED INTEGRATIVE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY AMIN COUNSELOR (OWNER)
(571) 357-3722
Entity
Organization
Contact information
Practice address
2500 PLAZA 5, JERSEY CITY, NJ 07311
(571) 357-3722
(201) 648-2707
Mailing address
19 DAWN DR, PORT READING, NJ 07064-1403
(571) 357-3722
(201) 648-2707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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