Healthcare Provider Details

I. General information

NPI: 1790964187
Provider Name (Legal Business Name): AARISTA COUNSELING & PSYCHOTHERAPY SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 04/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 N STATE RT 17
PARAMUS NJ
07652-2644
US

IV. Provider business mailing address

12 N STATE RT 17
PARAMUS NJ
07652-2644
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-3700
  • Fax: 201-368-0055
Mailing address:
  • Phone: 201-368-3700
  • Fax: 201-368-0055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number26NJ00049300
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License NumberF400796
License Number StateNY
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: HADASSAH GURFEIN
Title or Position: OWNER
Credential: PHD
Phone: 201-368-3700