Healthcare Provider Details

I. General information

NPI: 1366374456
Provider Name (Legal Business Name): ALLIED COUNSELING COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 SHELLEY DR STE 2G
HACKETTSTOWN NJ
07840-2530
US

IV. Provider business mailing address

121 SHELLEY DR STE 2G
HACKETTSTOWN NJ
07840-2530
US

V. Phone/Fax

Practice location:
  • Phone: 908-452-6865
  • Fax: 908-813-2715
Mailing address:
  • Phone: 908-452-6865
  • Fax: 908-813-2715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAEMMAVHEB JAVANES-PISANI
Title or Position: OWNER
Credential: LPC
Phone: 908-452-6865