Provider Demographics
NPI:1609404342
Name:STEPPING INTO THE MOMENT LLC
Entity Type:Organization
Organization Name:STEPPING INTO THE MOMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KLEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:908-507-2647
Mailing Address - Street 1:5 WALTER FORAN BLVD
Mailing Address - Street 2:SUITE 2002
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822
Mailing Address - Country:US
Mailing Address - Phone:908-507-2647
Mailing Address - Fax:
Practice Address - Street 1:5 WALTER FORAN BLVD
Practice Address - Street 2:SUITE 2002
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822
Practice Address - Country:US
Practice Address - Phone:908-507-2647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty