Jeni Tyson Lcsw Llc

LBN: Jeni Tyson Lcsw Llc
Jeni Tyson Lcsw Llc is an health care organization with primary practice located at 2115 Millburn Ave Ste 105 , Maplewood NJ 07040-3724. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Jeni Tyson Lcsw Llc can be contacted via phone (973) 738-3823, or through Tyson, Jeanette M via phone (973) 738-3823.

Contact Information

Primary practice address
2115 Millburn Ave Ste 105 Maplewood NJ 07040-3724
Phone: (973) 738-3823
Fax: (973) 378-5577
Website:
Map and Directions
Authorized official contact:
Name: Tyson, Jeanette M Licensed Clinical Social Worker (LCSW)
Phone: (973) 738-3823

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05337100 New Jersey

Profile Details

NPI number 1427466838
LBN Legal business name Jeni Tyson Lcsw Llc
DBA Doing business as
Authorized official Tyson, Jeanette M Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2014
Last updated Jul 29th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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