Mya Rose Koleser
Individual provider Active NPI Case Management Agency · Franklin, NJ
NPI 1194555995 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1194555995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- Practice address
- 178 Main St
Franklin, NJ 07416-1539 - Phone
- (973) 262-1530
- NPI assigned
- Aug 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
178 Main St
Franklin, NJ 07416-1539
Mailing address
178 Main St
Franklin, NJ 07416-1539
Phone (973) 262-1530
Other providers in Franklin, NJ
- Eugene S Hrabarchuk
- Mariakatherine Hubbard
- Maureen J Hubbard
- Emily Jones
- Luke Khalil
- Alexandra Leet
- Let'S Talk Counseling LLC
- Kirsten Lynn Macmillan
- Daniel Walter Matkiwsky
- Jonathan Matzko
All providers in Franklin, NJ · Case Management Agency in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.