Healthcare Provider Details
I. General information
NPI: 1033656285
Provider Name (Legal Business Name): UNDERSTANDING COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2017
Last Update Date: 01/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
607 EDISON GLEN TER
EDISON NJ
08837-2928
US
IV. Provider business mailing address
607 EDISON GLEN TER
EDISON NJ
08837-2928
US
V. Phone/Fax
- Phone: 848-459-1595
- Fax:
- Phone: 848-459-1595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 44SC05529000 |
| License Number State | NJ |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MS.
TRICIA
T
FLOYD
Title or Position: MANAGER
Credential: LCSW
Phone: 848-459-1595