Provider Demographics
NPI:1558933028
Name:EQUALITY MENTAL HEALTH. LLC
Entity Type:Organization
Organization Name:EQUALITY MENTAL HEALTH. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:CUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-885-3522
Mailing Address - Street 1:852 KINDERKAMACK ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2324
Mailing Address - Country:US
Mailing Address - Phone:201-885-3522
Mailing Address - Fax:
Practice Address - Street 1:852 KINDERKAMACK ROAD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2324
Practice Address - Country:US
Practice Address - Phone:201-885-3522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-14
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0754757Medicaid