Healthcare Provider Details

I. General information

NPI: 1033732839
Provider Name (Legal Business Name): HEALING PARTNERS COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 05/27/2020
Certification Date: 05/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MOUNTAIN CT STE 101B
HACKETTSTOWN NJ
07840-2300
US

IV. Provider business mailing address

101 MOUNTAIN CT STE 101B
HACKETTSTOWN NJ
07840-2300
US

V. Phone/Fax

Practice location:
  • Phone: 908-620-6336
  • Fax: 844-236-1502
Mailing address:
  • Phone: 908-620-6336
  • Fax: 844-236-1502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: YUDELKA COLUMNA-GRAJEWSKI
Title or Position: C.E.O.
Credential: LCSW, MSW
Phone: 908-620-6336