Provider Demographics
NPI:1386001469
Name:EXPRESSIONS BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:EXPRESSIONS BEHAVIORAL HEALTH SERVICES
Other - Org Name:DONNA E SMITH CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW,LCSW,LCADC
Authorized Official - Phone:973-641-2298
Mailing Address - Street 1:134 EVERGREEN PL
Mailing Address - Street 2:SUITE 709
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07018-2011
Mailing Address - Country:US
Mailing Address - Phone:862-930-3507
Mailing Address - Fax:862-930-3482
Practice Address - Street 1:134 EVERGREEN PL
Practice Address - Street 2:SUITE 709
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2011
Practice Address - Country:US
Practice Address - Phone:862-930-3507
Practice Address - Fax:862-930-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05478100261QM0850X, 261QM0855X
NJ37LC00124200261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder