Kwenyan Professional Health Services, Llc
LBN: Kwenyan Professional Health Services, Llc
Kwenyan Professional Health Services, Llc is an health care organization with primary practice located at 200 South St , New Providence NJ 07974-2151. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty.
Kwenyan Professional Health Services, Llc can be contacted via phone (908) 516-2338, or through Cassell, Ph.D., Mph, Dr. Daniel Estrada via phone (215) 432-3702.
Contact Information
Primary practice address
200 South St
New Providence NJ 07974-2151
Phone: (908) 516-2338
Fax: (866) 376-8262
Website:
Authorized official contact:
Name: Cassell, Ph.D., Mph, Dr. Daniel Estrada PH.D., MPH
Phone: (215) 432-3702
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1609335736 |
|---|---|
| LBN Legal business name | Kwenyan Professional Health Services, Llc |
| DBA Doing business as | |
| Authorized official | Cassell, Ph.D., Mph, Dr. Daniel Estrada PH.D., MPH |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 18th, 2019 |
| Last updated | Mar 18th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609335736 | NPPES |
| New Jersey | Other | 101950404 | NJ OFFICE OF LICENSING: OUTPATIENT MENTAL HEALTH SERVICES |
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