Healthcare Provider Details

I. General information

NPI: 1982388021
Provider Name (Legal Business Name): FINDING HOPE ADOLESCENT COUNSELING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 PLYMOUTH ST LOWER LEVEL - SUITE 1 (LL-1)
MONTCLAIR NJ
07042
US

IV. Provider business mailing address

33 PLYMOUTH ST LOWER LEVEL - SUITE 1 (LL-1)
MONTCLAIR NJ
07042
US

V. Phone/Fax

Practice location:
  • Phone: 908-376-6167
  • Fax:
Mailing address:
  • Phone: 908-376-6167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LEANNE HERSHKOWITZ
Title or Position: OWNER & CLINICAL DIRECTOR
Credential: M.A./ED.S., LPC, BCN
Phone: 908-376-6167