Healthcare Provider Details

I. General information

NPI: 1699463950
Provider Name (Legal Business Name): A RESTING PLACE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2023
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 MAIN ST STE C-D
METUCHEN NJ
08840-2476
US

IV. Provider business mailing address

155 WILLOWBROOK BLVD SUITE 110 #3523
WAYNE NJ
07470-7032
US

V. Phone/Fax

Practice location:
  • Phone: 732-428-2825
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: COURTNEY ANDERSON-HARVEY
Title or Position: OWNER/THERAPIST
Credential:
Phone: 732-428-2825