Provider Demographics
NPI:1922628866
Name:YOUR THERAPEUTIC SERVICES
Entity Type:Organization
Organization Name:YOUR THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:YOKASTA
Authorized Official - Middle Name:MARLEN
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:862-271-4022
Mailing Address - Street 1:67 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1216
Mailing Address - Country:US
Mailing Address - Phone:862-271-4022
Mailing Address - Fax:
Practice Address - Street 1:67 OXFORD ST
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1216
Practice Address - Country:US
Practice Address - Phone:862-271-4022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty