Provider Demographics
NPI:1447796230
Name:MESSINEO CONSULTATION SERVICES
Entity Type:Organization
Organization Name:MESSINEO CONSULTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSINEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-953-9700
Mailing Address - Street 1:43 STELLA DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1839
Mailing Address - Country:US
Mailing Address - Phone:908-953-9700
Mailing Address - Fax:
Practice Address - Street 1:43 STELLA DR
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1839
Practice Address - Country:US
Practice Address - Phone:908-953-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC00362500261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)