Provider Demographics
NPI:1093280950
Name:ROAD WORTH TRAVELING
Entity Type:Organization
Organization Name:ROAD WORTH TRAVELING
Other - Org Name:THE ROAD WORTH TRAVELING THERAPY GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEMBRY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LAC
Authorized Official - Phone:732-996-5461
Mailing Address - Street 1:39 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BARNEGAT
Mailing Address - State:NJ
Mailing Address - Zip Code:08005-1218
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:414 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1526
Practice Address - Country:US
Practice Address - Phone:732-996-5461
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health