Provider Demographics
NPI:1619798501
Name:LOVING HEART BEHAVIORAL HEALTH CARE LLC
Entity type:Organization
Organization Name:LOVING HEART BEHAVIORAL HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MAC-ATTOH
Authorized Official - Suffix:SR
Authorized Official - Credentials:APN
Authorized Official - Phone:646-981-7025
Mailing Address - Street 1:909 US-130
Mailing Address - Street 2:SANATE BUILDING
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-4409
Mailing Address - Country:US
Mailing Address - Phone:646-981-7025
Mailing Address - Fax:
Practice Address - Street 1:411 BREUNIG AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-4409
Practice Address - Country:US
Practice Address - Phone:646-981-7025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)