Healthcare Provider Details

I. General information

NPI: 1356275564
Provider Name (Legal Business Name): ANAM CARA COUNSELING AND SUPERVISION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 LOMBARDY ST STE 41232
NEWARK NJ
07102-3210
US

IV. Provider business mailing address

8 LOMBARDY ST STE 41232
NEWARK NJ
07102-3210
US

V. Phone/Fax

Practice location:
  • Phone: 267-446-0206
  • Fax: 833-466-1446
Mailing address:
  • Phone: 267-446-0206
  • Fax: 833-466-1446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAREN HELMES
Title or Position: OWNER
Credential:
Phone: 267-446-0206