Provider Demographics
NPI:1528293776
Name:WESTFIELD THERAPY, LLC
Entity type:Organization
Organization Name:WESTFIELD THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-400-6914
Mailing Address - Street 1:127 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5116
Mailing Address - Country:US
Mailing Address - Phone:908-400-6914
Mailing Address - Fax:973-857-2972
Practice Address - Street 1:127 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5116
Practice Address - Country:US
Practice Address - Phone:908-400-6914
Practice Address - Fax:973-857-2972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00040400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty