Healthcare Provider Details

I. General information

NPI: 1154980738
Provider Name (Legal Business Name): SYNERGY COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2019
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 OXBOW LANE SUITE B
FRANKLIN NJ
07416
US

IV. Provider business mailing address

PO BOX 1186
VERNON NJ
07462-1186
US

V. Phone/Fax

Practice location:
  • Phone: 973-845-8120
  • Fax:
Mailing address:
  • Phone: 973-845-8120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM SHAWN WELTY
Title or Position: OWNER
Credential: MA, LPC, LCADC
Phone: 973-845-8120