Provider Demographics
NPI:1083441026
Name:HEAD TO HEALTH PSYCHIATRY, LLC
Entity type:Organization
Organization Name:HEAD TO HEALTH PSYCHIATRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:APN
Authorized Official - Phone:732-637-9205
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:ADELPHIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07710-0144
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:181 SOUTH ST UNIT B1
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2164
Practice Address - Country:US
Practice Address - Phone:732-637-9205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-16
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty