Healthcare Provider Details

I. General information

NPI: 1205703352
Provider Name (Legal Business Name): PERSPECTIVE COUNSELING AND WELLNESS,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 ARK RD STE 104F
MOUNT LAUREL NJ
08054-3190
US

IV. Provider business mailing address

204 ARK RD STE 104F
MOUNT LAUREL NJ
08054-3190
US

V. Phone/Fax

Practice location:
  • Phone: 856-267-0531
  • Fax: 856-267-0531
Mailing address:
  • Phone: 856-267-0531
  • Fax: 856-267-0531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY M BAKER
Title or Position: OWNER/THERAPIST
Credential: LPC, CCS, ACS
Phone: 848-459-8718