Healthcare Provider Details

I. General information

NPI: 1780598284
Provider Name (Legal Business Name): ENVISION & EMBRACE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 MILLBURN AVE STE 205
MAPLEWOOD NJ
07040-3716
US

IV. Provider business mailing address

395 MCDOWELL DR
EAST BRUNSWICK NJ
08816-4076
US

V. Phone/Fax

Practice location:
  • Phone: 862-234-9396
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: SHANIQUE CURRY
Title or Position: OWNER
Credential: LPC,ACS
Phone: 862-234-9396