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Contact Information

LEADING YOUTH THROUGH EXPERIENCE, LLC
2 ARROWHEAD CT
FREEHOLD TOWNSHIP, NJ07728-9577
 Phone: 732-458-3201
 Fax: 732-458-3269
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community Health Worker

172V00000X
 

Developmental Therapist

222Q00000X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for LEADING YOUTH THROUGH EXPERIENCE, LLC

NPI Number 1417444076
LBN Legal business name LEADING YOUTH THROUGH EXPERIENCE, LLC
Authorized official JASON ROSENBERG - (OWNER/EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/19/2018
Last updated 04/19/2018 - About 8 years ago
Identifiers
NJ Medicaid 1225240633
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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