Organization
MOODLAB PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WHITNEY COULSON LCSW (OWNER)
(248) 752-0509
Entity
Organization
Contact information
Practice address
16 STATE RT 5, PALISADES PARK, NJ 07650-2726
(551) 364-7822
Mailing address
128 E HARRIET AVE # 2, PALISADES PARK, NJ 07650-1444
(248) 752-0509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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