Healthcare Provider Details

I. General information

NPI: 1093313132
Provider Name (Legal Business Name): WE COPE COUNSELING AND CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 10/23/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 WALNUT AVENUE SUITE 210
CLARK NJ
07066-1247
US

IV. Provider business mailing address

100 WALNUT AVENUE SUITE 210
CLARK NJ
07066-1247
US

V. Phone/Fax

Practice location:
  • Phone: 973-321-7803
  • Fax:
Mailing address:
  • Phone: 973-321-7803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier37PC00731900
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerLPC LICENSE

VIII. Authorized Official

Name: SHAMERE WILLIAMS
Title or Position: BEHAVIORAL HEALTH CLINICIAN
Credential: MA, LPC, NCC
Phone: 201-920-9824