Provider Demographics
NPI:1043935042
Name:MULTICULTURAL COGNITIVE BEHAVIORAL THERAPY CENTER, LLC
Entity Type:Organization
Organization Name:MULTICULTURAL COGNITIVE BEHAVIORAL THERAPY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIKIER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, ACT
Authorized Official - Phone:848-391-9180
Mailing Address - Street 1:50 MAIN ST STE 3D
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1463
Mailing Address - Country:US
Mailing Address - Phone:848-391-9180
Mailing Address - Fax:
Practice Address - Street 1:50 MAIN ST STE 3D
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1463
Practice Address - Country:US
Practice Address - Phone:848-391-9180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health