Healthcare Provider Details

I. General information

NPI: 1841878907
Provider Name (Legal Business Name): CLEAR HORIZONS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FIRST AVE
MONMOUTH JUNCTION NJ
08852-2966
US

IV. Provider business mailing address

23 N DELSEA DR UNIT B
CLAYTON NJ
08312-1637
US

V. Phone/Fax

Practice location:
  • Phone: 908-839-6624
  • Fax:
Mailing address:
  • Phone: 856-423-7000
  • Fax: 856-423-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SHASHI KHANNA
Title or Position: SOLE MEMBER
Credential: LCSW
Phone: 908-839-6624