Healthcare Provider Details

I. General information

NPI: 1508521675
Provider Name (Legal Business Name): STILL SMALL VOICE EDUCATIONAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2021
Last Update Date: 11/03/2021
Certification Date: 11/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CROSSWICKS CHESTERFIELD RD UNIT 3
CROSSWICKS NJ
08515-9661
US

IV. Provider business mailing address

PO BOX 76
CROSSWICKS NJ
08515-0076
US

V. Phone/Fax

Practice location:
  • Phone: 609-351-1823
  • Fax:
Mailing address:
  • Phone: 609-351-1823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: MELISSA RYAN
Title or Position: CEO
Credential: LPC
Phone: 609-361-1823