Healthcare Provider Details

I. General information

NPI: 1841790052
Provider Name (Legal Business Name): BTC COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2018
Last Update Date: 02/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 RARITAN AVE STE 303A
HIGHLAND PARK NJ
08904-2752
US

IV. Provider business mailing address

46 CEDAR BROOK DR
SOMERSET NJ
08873-2854
US

V. Phone/Fax

Practice location:
  • Phone: 732-354-2590
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. PATRICIA SPENCER
Title or Position: OWNER
Credential: LCSW
Phone: 732-354-2590