Gaia, Susana P.

Gaia, Susana P. is an individual health care provider with primary practice located at 290 Ferry St Bsmt A2 , Newark NJ 07105-3475. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gaia, Susana P. can be contacted via phone (917) 459-2463.

Contact Information

Primary practice address
290 Ferry St Bsmt A2 Newark NJ 07105-3475
Phone: (917) 459-2463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 007828-1 New York

Profile Details

NPI number 1689923930
LBN Legal business name Gaia, Susana P.
Credentials MA, LMHC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2012
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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