Provider Demographics
NPI:1649594771
Name:MARCIA D. LITE-BRAUS, LPC, LLC
Entity Type:Organization
Organization Name:MARCIA D. LITE-BRAUS, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:LITE-BRAUS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-239-3073
Mailing Address - Street 1:150 JOHN F. KENNEDY PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078
Mailing Address - Country:US
Mailing Address - Phone:908-239-3073
Mailing Address - Fax:973-467-7950
Practice Address - Street 1:150 JOHN F. KENNEDY PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078
Practice Address - Country:US
Practice Address - Phone:908-239-3073
Practice Address - Fax:973-467-7950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00368600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty