Provider Demographics
NPI:1487408134
Name:HEARDEN, JANIE
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:HEARDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WORTH ST APT 9W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4028
Mailing Address - Country:US
Mailing Address - Phone:973-900-2982
Mailing Address - Fax:
Practice Address - Street 1:111 WORTH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4008
Practice Address - Country:US
Practice Address - Phone:973-900-2982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health