Healthcare Provider Details

I. General information

NPI: 1265946693
Provider Name (Legal Business Name): SBH COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HADDONTOWNE CT
CHERRY HILL NJ
08034-3602
US

IV. Provider business mailing address

5 STONERISE DR
LAWRENCEVILLE NJ
08648-5534
US

V. Phone/Fax

Practice location:
  • Phone: 609-795-7619
  • Fax: 609-435-1673
Mailing address:
  • Phone: 609-795-7619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00592900
License Number StateNJ

VIII. Authorized Official

Name: SHERI B HOVDESTAD
Title or Position: OWNER
Credential: MA, LPC, NCC
Phone: 609-795-7619