Provider Demographics
NPI:1497282750
Name:SAGE & SERENITY, LLC
Entity Type:Organization
Organization Name:SAGE & SERENITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAIZA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHEIKH-MIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-330-7474
Mailing Address - Street 1:951 BOULEVARD E
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-7116
Mailing Address - Country:US
Mailing Address - Phone:973-330-7474
Mailing Address - Fax:
Practice Address - Street 1:80 PARK ST
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2904
Practice Address - Country:US
Practice Address - Phone:973-330-7474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-17
Last Update Date:2017-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057164001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty