AMYRATH-LAYE A SOURADJOU (NPI# 1457742256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457742256 |
| Entity Type | Individual |
| Full Name | AMYRATH-LAYE A SOURADJOU |
| Practice Address |
108 Lucas Ln Voorhees NJ 08043-2549 |
| Mailing Address |
770 Woodlane Rd Westampton NJ 08060-3804 |
| Practice Telephone | 8567720060 |
| Mailing Telephone | 6092675928 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
108 LUCAS LN |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477051639 | Oaks Integrated Care | Clinic/Center | 108 Lucas Ln, Voorhees, NJ 08043-2549 | 2018-01-23 |
| 1154849073 | Oaks Integrated Care | Clinic/Center | 108 Lucas Ln, Voorhees, NJ 08043-2549 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513555 | Riana Caryn Kelly | Counselor | 1000 White Horse Rd Ste 804, Voorhees, NJ 08043-4414 | 2019-02-03 |
| 1699242057 | Stephen Richard Ahern | Counselor | 8 Middlesex Ave, Voorhees, NJ 08043-1352 | 2018-10-24 |
| 1871822031 | Sara Marie Shane | Counselor | 2050 Voorhees Town Ctr, Voorhees, NJ 08043-1910 | 2009-12-17 |
| 1578069399 | Angela Baxter | Counselor | 526 S Burnt Mill Rd, Voorhees, NJ 08043-2205 | 2018-04-02 |
| 1477071975 | Daniel Blum | Counselor | 221 Laurel Rd Ste 102, Voorhees, NJ 08043-8301 | 2017-09-05 |
| 1720508799 | Adam Zachary Bidas | Counselor | 221 Laurel Rd, Voorhees, NJ 08043-2330 | 2017-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.