Provider Demographics
NPI:1447737036
Name:TALK ABOUT IT
Entity Type:Organization
Organization Name:TALK ABOUT IT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MC LANEY
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:MOISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-554-3327
Mailing Address - Street 1:597 HARBORTOWN BLVD BLDG 43
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-3087
Mailing Address - Country:US
Mailing Address - Phone:347-554-3327
Mailing Address - Fax:
Practice Address - Street 1:597 HARBORTOWN BLVD BLDG 43
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-3087
Practice Address - Country:US
Practice Address - Phone:347-554-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-26
Last Update Date:2018-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057764001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty