Provider Demographics
NPI:1275001497
Name:LCR COUNSELING & HEART CENTERED HYPNOTHERAPY
Entity Type:Organization
Organization Name:LCR COUNSELING & HEART CENTERED HYPNOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUANE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACHT
Authorized Official - Phone:201-725-1251
Mailing Address - Street 1:14 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-2122
Mailing Address - Country:US
Mailing Address - Phone:201-725-1251
Mailing Address - Fax:
Practice Address - Street 1:334 KINDERKAMACK RD FL 2
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-2102
Practice Address - Country:US
Practice Address - Phone:201-416-9043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-06
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)