Provider Demographics
NPI:1588360200
Name:DOPE & HAPPY THERAPY AND COACHING SERVICES
Entity type:Organization
Organization Name:DOPE & HAPPY THERAPY AND COACHING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDERSON-MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:862-621-9190
Mailing Address - Street 1:10 HINSDALE PL
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-5337
Mailing Address - Country:US
Mailing Address - Phone:862-621-9190
Mailing Address - Fax:
Practice Address - Street 1:89 MARKET ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1736
Practice Address - Country:US
Practice Address - Phone:862-621-9190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty