Healthcare Provider Details

I. General information

NPI: 1265577290
Provider Name (Legal Business Name): 180 TURNING LIVES AROUND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BETHANY RD BLDG 3, SUITE 42
HAZLET NJ
07730-1663
US

IV. Provider business mailing address

1 BETHANY RD BLDG 3, SUITE 42
HAZLET NJ
07730-1663
US

V. Phone/Fax

Practice location:
  • Phone: 732-264-4111
  • Fax: 732-264-8655
Mailing address:
  • Phone: 732-264-4111
  • Fax: 732-264-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC04801600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JO ANN PALUMBO
Title or Position: DIRECTOR OF PROGRAM SERVICES
Credential: LCSW
Phone: 732-264-4360