Provider Demographics
NPI:1760159297
Name:EPIC THERAPY AND COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:EPIC THERAPY AND COUNSELING SERVICES LLC
Other - Org Name:EPIC THERAPY AND COUNSELING SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LINSAY
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:HEANRNS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-505-5519
Mailing Address - Street 1:1346 BELGRADE AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-3328
Mailing Address - Country:US
Mailing Address - Phone:610-505-5519
Mailing Address - Fax:
Practice Address - Street 1:180 TALMADGE RD UNIT 429
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2860
Practice Address - Country:US
Practice Address - Phone:610-505-5519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty