Healthcare Provider Details

I. General information

NPI: 1548793102
Provider Name (Legal Business Name): ASPIRE TO ACHIEVE COUNSELING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2017
Last Update Date: 03/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HIGHLAND AVE STE C
HADDON TOWNSHIP NJ
08108-2634
US

IV. Provider business mailing address

215 HIGHLAND AVE STE C
HADDON TOWNSHIP NJ
08108-2634
US

V. Phone/Fax

Practice location:
  • Phone: 856-254-0828
  • Fax: 856-254-0828
Mailing address:
  • Phone: 856-254-0828
  • Fax: 856-854-0992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number44SC0445536200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number44SC0445536200
License Number StateNJ

VIII. Authorized Official

Name: JANICE S BRITT-MEADOWS
Title or Position: EXEC. DIR./OWNER/SOLE MEMBER
Credential: MSW, LCSW
Phone: 856-254-0828