Provider Demographics
NPI:1396619219
Name:THE RECONCILIATION CENTER
Entity type:Organization
Organization Name:THE RECONCILIATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPISR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:609-516-1026
Mailing Address - Street 1:PO BOX 24713
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11202-4713
Mailing Address - Country:US
Mailing Address - Phone:646-856-9454
Mailing Address - Fax:
Practice Address - Street 1:201 MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONVILLE
Practice Address - State:NY
Practice Address - Zip Code:13309-1311
Practice Address - Country:US
Practice Address - Phone:646-856-9454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty