Healthcare Provider Details

I. General information

NPI: 1740622869
Provider Name (Legal Business Name): HOBOKEN COUNSELING ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2013
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 HARRISON ST STE 218
HOBOKEN NJ
07030-6088
US

IV. Provider business mailing address

50 HARRISON ST STE 218
HOBOKEN NJ
07030-6088
US

V. Phone/Fax

Practice location:
  • Phone: 201-561-3612
  • Fax:
Mailing address:
  • Phone: 201-561-3612
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00166800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL05782900
License Number StateNJ

VIII. Authorized Official

Name: MR. ORLANDO RAMOS
Title or Position: PARTNER
Credential: LSW, LCADC, CCS
Phone: 201-561-3612