Healthcare Provider Details

I. General information

NPI: 1245165257
Provider Name (Legal Business Name): SURVIVE TO THRIVE COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 LINDEN RD
BURLINGTON NJ
08016-1053
US

IV. Provider business mailing address

1351 FAIRVIEW BLVD STE A
DELRAN NJ
08075-1475
US

V. Phone/Fax

Practice location:
  • Phone: 609-240-4456
  • Fax:
Mailing address:
  • Phone: 609-240-4456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: FELICITY INGRAM
Title or Position: MARRIAGE AND FAMILY THERAPIST
Credential: LMFT
Phone: 609-240-4456