Healthcare Provider Details

I. General information

NPI: 1558088914
Provider Name (Legal Business Name): KAREN OLOUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

935 ALLWOOD RD STE 300
CLIFTON NJ
07012-1988
US

IV. Provider business mailing address

6 REDWOOD RD
DENVILLE NJ
07834-9302
US

V. Phone/Fax

Practice location:
  • Phone: 862-930-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01186100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: