Healthcare Provider Details

I. General information

NPI: 1699679613
Provider Name (Legal Business Name): WORKING TOWARDS A BRIGHTER FUTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 SPRINGFIELD AVE STE 2
MAPLEWOOD NJ
07040-2857
US

IV. Provider business mailing address

104 SANFORD PL
NEWARK NJ
07106-3316
US

V. Phone/Fax

Practice location:
  • Phone: 347-972-5221
  • Fax:
Mailing address:
  • Phone: 917-640-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. SHEENA SMITH
Title or Position: OWNER
Credential: LPC
Phone: 917-640-9075