Provider Demographics
NPI:1740935006
Name:LA PERLE PSYCHOTHERAPY
Entity type:Organization
Organization Name:LA PERLE PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGET-MENAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-365-7676
Mailing Address - Street 1:9 FISLER DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08312-2421
Mailing Address - Country:US
Mailing Address - Phone:732-925-1519
Mailing Address - Fax:
Practice Address - Street 1:140 S BROADWAY STE 7
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-2235
Practice Address - Country:US
Practice Address - Phone:844-365-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)