Healthcare Provider Details

I. General information

NPI: 1609696350
Provider Name (Legal Business Name): LITTLE BY LITTLE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SHELTON AVE
EWING NJ
08618-1835
US

IV. Provider business mailing address

155 WILLOWBROOK BLVD STE 110
WAYNE NJ
07470-7033
US

V. Phone/Fax

Practice location:
  • Phone: 609-649-4209
  • Fax:
Mailing address:
  • Phone: 609-649-4209
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARLA MARIE DELRE
Title or Position: OWNER
Credential: LPC
Phone: 609-649-4209