Provider Demographics
NPI:1093481426
Name:LIFE & FAMILY GUIDANCE
Entity type:Organization
Organization Name:LIFE & FAMILY GUIDANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONITIRI
Authorized Official - Suffix:
Authorized Official - Credentials:EDS, LCADC, LMFT
Authorized Official - Phone:609-429-0687
Mailing Address - Street 1:269 CLAFLIN AVE
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-2356
Mailing Address - Country:US
Mailing Address - Phone:609-508-3865
Mailing Address - Fax:
Practice Address - Street 1:269 CLAFLIN AVE
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08638-2356
Practice Address - Country:US
Practice Address - Phone:609-429-0687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty