Healthcare Provider Details

I. General information

NPI: 1740554062
Provider Name (Legal Business Name): COUNSELING & THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2012
Last Update Date: 03/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

466 KINDERKAMACK RD
ORADELL NJ
07649-1536
US

IV. Provider business mailing address

130 WHITMAN ST
HAWORTH NJ
07641-1947
US

V. Phone/Fax

Practice location:
  • Phone: 201-663-2649
  • Fax:
Mailing address:
  • Phone: 201-663-2649
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05483300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number595212
License Number StateNJ

VIII. Authorized Official

Name: SUZANNE CALGI
Title or Position: MANAGER
Credential: LCSW
Phone: 201-663-2649