Provider Demographics
NPI:1477605178
Name:IRM SUCCESS LLC
Entity Type:Organization
Organization Name:IRM SUCCESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RIVKA
Authorized Official - Middle Name:BERTISH
Authorized Official - Last Name:MEIR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MPH, LMHC
Authorized Official - Phone:201-363-1391
Mailing Address - Street 1:181 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-1801
Mailing Address - Country:US
Mailing Address - Phone:201-363-1391
Mailing Address - Fax:801-751-6585
Practice Address - Street 1:181 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-1801
Practice Address - Country:US
Practice Address - Phone:201-363-1391
Practice Address - Fax:801-751-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty