Healthcare Provider Details

I. General information

NPI: 1154112381
Provider Name (Legal Business Name): SUNDROP COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 SPRUCE ST
DEERFIELD TWP NJ
08302-3465
US

IV. Provider business mailing address

530 SPRUCE ST
DEERFIELD TWP NJ
08302-3465
US

V. Phone/Fax

Practice location:
  • Phone: 484-792-1912
  • Fax:
Mailing address:
  • Phone: 484-792-1912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE ANNE WELLS
Title or Position: OWNER/CLINICAN
Credential: MA, LPC
Phone: 484-792-1912