Ly, Phung My

Ly, Phung My is an sole proprietor health care provider with primary practice located at 1 Gateway Ctr Ste 2600 , Newark NJ 07102-5323. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ly, Phung My can be contacted via phone (888) 528-7618.

Contact Information

Primary practice address
1 Gateway Ctr Ste 2600 Newark NJ 07102-5323
Phone: (888) 528-7618
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RA9280413 California
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC6684 California
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00989900 New Jersey

Profile Details

NPI number 1215365739
LBN Legal business name Ly, Phung My
Credentials LPCC, CDAC-II, MSCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2013
Last updated Mar 1st, 2024 - about 9 months 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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