Wellformed AI

NPI 1295470359 · live from the CMS NPI Registry

A Therapy Life Center LLC

Social Worker, Clinical in Garfield, NJ. National Provider Identifier 1295470359, active.

NPI record

NPI1295470359 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location132 Midland Ave Ste A, Garfield, NJ 07026
Practice phone973-340-1500
Mailing address132 Midland Ave, Garfield, NJ 07026
EnumeratedMay 3, 2022
Last updatedJuly 30, 2025
Authorized officialTammy Sausa, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.