Healthcare Provider Details

I. General information

NPI: 1144868621
Provider Name (Legal Business Name): TEAMUP COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2019
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 ANDERSON AVE STE 305A
CLIFFSIDE PARK NJ
07010-1856
US

IV. Provider business mailing address

596 ANDERSON AVE STE 305A
CLIFFSIDE PARK NJ
07010-1856
US

V. Phone/Fax

Practice location:
  • Phone: 201-917-3048
  • Fax: 201-328-9404
Mailing address:
  • Phone: 201-917-3048
  • Fax: 201-328-9404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. VALERIE D. RAWLS
Title or Position: CEO/CLINICAL DIRECTOR
Credential: LCSW
Phone: 201-917-3048