Healthcare Provider Details

I. General information

NPI: 1306220942
Provider Name (Legal Business Name): MERIDIAN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 03/02/2021
Certification Date: 10/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 WHITE HORSE PIKE
HADDON HEIGHTS NJ
08035-1703
US

IV. Provider business mailing address

1930 ROUTE 70 E
CHERRY HILL NJ
08003-2150
US

V. Phone/Fax

Practice location:
  • Phone: 856-617-4544
  • Fax:
Mailing address:
  • Phone: 856-751-0505
  • Fax: 888-399-1804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00746700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number44SC00746700
License Number StateNJ

VIII. Authorized Official

Name: MISS MIRIAM STERN
Title or Position: EXECUTIVE DIRECTOR AND THERAPIST
Credential: MSW, LCSW
Phone: 856-751-0505