Latoyria Djanie, CAC

Individual provider Active NPI Pastoral Counselor · Gloucester City, NJ

NPI 1699342055 · NPPES record last updated Feb 23, 2022

Key facts

NPI
1699342055
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
110 Weston Ave # 2
Gloucester City, NJ 08030-1352
Phone
(609) 503-0608
NPI assigned
Jun 4, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Dreams Safe Haven, Inc. Current
since Mar 9, 2022
Accepting new patients

Locations

110 Weston Ave
#2
Gloucester City, NJ 08030
Phone (609) 503-0608

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Pastoral Counselor 101YP1600X NJ Yes

Addresses

Primary practice location

110 Weston Ave # 2
Gloucester City, NJ 08030-1352

Mailing address

608 W Schuylkill Rd Apt 332
Pottstown, PA 19465-9622
Phone (484) 366-9871

Other practice location 1

608 W Schuylkill Rd Apt 332
Pottstown, PA 19465-9622
Phone (484) 366-9871

Other providers in Gloucester City, NJ

All providers in Gloucester City, NJ · Pastoral Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.