Healthcare Provider Details

I. General information

NPI: 1174644561
Provider Name (Legal Business Name): THE ACCREDITED CENTER FOR PSYCHOLOGICAL COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 THORNTON DR
PALM BEACH GARDENS FL
33418-8089
US

IV. Provider business mailing address

105 THORNTON DR
PALM BEACH GARDENS FL
33418-8089
US

V. Phone/Fax

Practice location:
  • Phone: 201-475-2777
  • Fax: 201-475-2779
Mailing address:
  • Phone: 201-475-2777
  • Fax: 201-475-2779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberNJ 44SC00168300
License Number StateNJ

VIII. Authorized Official

Name: DR. CAROLE M PASAHOW
Title or Position: CLINICAL DIRECTOR
Credential: DSW, LCSW
Phone: 201-475-2777