Rebuild Therapy and Treatment Services

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

REBUILD THERAPY AND TREATMENT SERVICES

Practice address

26 Southampton Dr
Willingboro, NJ 08046-1019

Phone

(732) 861-9780

NPI assigned

Nov 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victoria Moran, LPC

Title

Co-Owner

Phone

(732) 861-9780

Specialties & licenses 1

Addresses

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ann Crane, LCSW

  • Clinical Social Worker
  • Burlington, NJ
  • NPI 1043995681
  NPD (past)
• James Henry Freeman

  • Mental Health Counselor
  • Princeton, NJ
  • NPI 1144663600
  NPD (past)
• Cosku Taalu, LCSW

  • Clinical Social Worker
  • Burlington, NJ
  • NPI 1477985984
  NPD (past)
• Jessie Williams

  • Mental Health Counselor
  • Princeton, NJ
  • NPI 1447679063
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1003386624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SOUTHAMPTON DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SOUTHAMPTON DR",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461019",
            "telephone_number": "732-861-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD THERAPY AND TREATMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "732-861-9780",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Malik Abdur Razzaq, M.ED.
• Vincent J Rea, DDS
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• Praveen P Reddy
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• Jacqueline Reid-Ray

• Counselor in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.