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 60 Evergreen Pl Suite 500, East Orange NJ 07018-2106. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health, Nursing Service Related Providers / Home Health Aide. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Kwenyan Professional Health Services, Llc can be contacted via phone (973) 672-6900, or through Cassell, Daniel via phone (973) 672-6900.

Contact Information

Primary practice address
60 Evergreen Pl Suite 500 East Orange NJ 07018-2106
Phone: (973) 672-6900
Fax: (866) 376-8262
Website:
Map and Directions
Authorized official contact:
Name: Cassell, Daniel MA, MPH, LPC, LCADC
Phone: (973) 672-6900

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00330900 New Jersey
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 37LC00040000 New Jersey
Agencies / Community/Behavioral Health 251S00000X LPC004779 Pennsylvania
Nursing Service Related Providers / Home Health Aide 374U00000X 26NR13660400 New Jersey

Profile Details

NPI number 1629221239
LBN Legal business name Kwenyan Professional Health Services, Llc
DBA Doing business as
Authorized official Cassell, Daniel MA, MPH, LPC, LCADC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2008
Last updated Jun 2nd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629221239 NPPES
New Jersey MEDICAID 0175366

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