Healthcare Provider Details

I. General information

NPI: 1528736550
Provider Name (Legal Business Name): LIANA ERCAN-ULINSKI LPC, LCADC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 KIEL AVE # 188
KINNELON NJ
07405-2572
US

IV. Provider business mailing address

2 KIEL AVE # 188
KINNELON NJ
07405-2572
US

V. Phone/Fax

Practice location:
  • Phone: 973-557-8540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number37PC00815400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00313800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00815400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: