Healthcare Provider Details

I. General information

NPI: 1689582231
Provider Name (Legal Business Name): RELLA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

612 MAIN ST STE 202
BOONTON NJ
07005-1762
US

IV. Provider business mailing address

612 MAIN ST STE 202
BOONTON NJ
07005-1762
US

V. Phone/Fax

Practice location:
  • Phone: 201-846-7262
  • Fax:
Mailing address:
  • Phone: 201-846-7262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE RELLA
Title or Position: PRACTICE OWNER
Credential: DSW, LCSW, LCADC
Phone: 201-846-7262