Organization
SHOOT FOR THE MOON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER HANLEY LPC, NCC (LICENSE PROFESSIONAL COUNSELOR)
(908) 448-6370
Entity
Organization
Contact information
Practice address
342 GREENBRIAR DR UNIT 3, UNION, NJ 07083-8769
(908) 448-6370
Mailing address
342 GREENBRIAR DR UNIT 3, UNION, NJ 07083-8769
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37PC00587100
NJ
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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