Healthcare Provider Details

I. General information

NPI: 1053271312
Provider Name (Legal Business Name): MAR COUNSELING LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 JOHN MILLER WAY
KEARNY NJ
07032-6500
US

IV. Provider business mailing address

78 JOHN MILLER WAY STE 326 PMB1002
KEARNY NJ
07032-6533
US

V. Phone/Fax

Practice location:
  • Phone: 201-702-1528
  • Fax:
Mailing address:
  • Phone: 201-702-1528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CAMILO MARMOLEJO
Title or Position: OWNER/MANAGING MEMBER
Credential: MA, LPC, CSC, NCC
Phone: 201-702-1528