Healthcare Provider Details

I. General information

NPI: 1275120362
Provider Name (Legal Business Name): CHLOE L COLOSIMO LPC, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 ROUTE 33 STE 101
MONROE TOWNSHIP NJ
08831-7303
US

IV. Provider business mailing address

977 ROUTE 33 STE 101
MONROE TOWNSHIP NJ
08831-7303
US

V. Phone/Fax

Practice location:
  • Phone: 609-448-1917
  • Fax:
Mailing address:
  • Phone: 609-448-1917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00415600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: