Organization Name: | MARCIA D. LITE-BRAUS, LPC, LLC |
NPI Number: | 1649594771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARCIA D. LITE-BRAUS (PRESIDENT/OWNER) |
Mailing Address: | 150 John F. Kennedy Parkway Suite 100 Short Hills |
State: | NJ US |
Postal Code: | 07078 |
Phone Number: | 9082393073 |
Fax Number: | 9734677950 |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00368600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |