Provider Demographics
NPI:1740865716
Name:TIME TURNERS COUNSELING AND CONSULTING, LLC
Entity type:Organization
Organization Name:TIME TURNERS COUNSELING AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTING
Authorized Official - Prefix:
Authorized Official - First Name:MALA
Authorized Official - Middle Name:DEVI
Authorized Official - Last Name:DEODHARI-BENI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-991-1556
Mailing Address - Street 1:56 CONGRESSIONAL PKWY
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-2133
Mailing Address - Country:US
Mailing Address - Phone:732-991-1556
Mailing Address - Fax:
Practice Address - Street 1:94 E SPRING ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2011
Practice Address - Country:US
Practice Address - Phone:908-581-7315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-11
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty