Healthcare Provider Details
I. General information
NPI: 1205763471
Provider Name (Legal Business Name): CORE INSIGHTS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 SIOUX TRL
BUDD LAKE NJ
07828-2008
US
IV. Provider business mailing address
111 TOWN SQUARE PL STE 1238
JERSEY CITY NJ
07310-1810
US
V. Phone/Fax
- Phone: 973-370-3207
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CASSIDY
SPOHN
Title or Position: PSYCHOTHERAPIST
Credential: LPC
Phone: 973-370-3207