Provider Demographics
NPI:1649960949
Name:SOFIO, ASHLEY ROSE MORETTO (LPAT, LPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:ROSE MORETTO
Last Name:SOFIO
Suffix:
Gender:F
Credentials:LPAT, LPC, ATR-BC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:ROSE
Other - Last Name:MORETTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPAT, LPC, ATR-BC
Mailing Address - Street 1:5 REGENT ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1675
Mailing Address - Country:US
Mailing Address - Phone:973-994-1011
Mailing Address - Fax:
Practice Address - Street 1:5 REGENT ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1675
Practice Address - Country:US
Practice Address - Phone:973-994-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00943800101YP2500X
NJ16LP00008300221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist