Provider Demographics
NPI:1205475589
Name:HEAD AND HEART THERAPY
Entity type:Organization
Organization Name:HEAD AND HEART THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMI-BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DANZIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:610-937-4422
Mailing Address - Street 1:130 GOLF CT
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5634
Mailing Address - Country:US
Mailing Address - Phone:610-937-4422
Mailing Address - Fax:
Practice Address - Street 1:121 CEDAR LN STE 2B
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4457
Practice Address - Country:US
Practice Address - Phone:201-357-5796
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty