OrganizationClear Light Therapy LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address60 Chestnut Street, Building 4b, Englewood, NJ 07631(609) 384-4874PECOS EnrollmentBased on the most recent information from CMS, provider Clear Light Therapy Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1669186433Provider TypeOrganizationFull NameClear Light Therapy LlcSubpartNoEnumeration Date1/6/2023Last Updated1/6/2023Contact InformationPractice LocationPractice Address60 Chestnut Street, Building 4b, Englewood, NJ 07631Phone(609) 384-4874FaxUnlisted FaxMailing LocationMailing Address60 Chestnut Street, Building 4b, Englewood, NJ 07631Phone(609) 384-4874FaxUnlisted FaxAuthorized OfficialNameColthart, Dana M (Psychotherapist/Owner)Phone(609) 384-4874Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1245793710DescriptionOtherIssuerPERSONAL NPINew Jersey