Healthcare Provider Details

I. General information

NPI: 1609781087
Provider Name (Legal Business Name): GROW AND BLOOM COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 HANOVER RD SUITE 120
FLORHAM PARK NJ
07932
US

IV. Provider business mailing address

2 HUDSON PL
HOBOKEN NJ
07030-5594
US

V. Phone/Fax

Practice location:
  • Phone: 973-434-5686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY BEATON-JOSEPH
Title or Position: OWNER
Credential: LPC
Phone: 908-839-7696