Provider Demographics
NPI:1205399896
Name:PSYCHOLOGICAL HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-535-8555
Mailing Address - Street 1:127 E MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3005
Mailing Address - Country:US
Mailing Address - Phone:973-535-8555
Mailing Address - Fax:
Practice Address - Street 1:127 E MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3005
Practice Address - Country:US
Practice Address - Phone:973-535-8555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty