Healthcare Provider Details

I. General information

NPI: 1851093546
Provider Name (Legal Business Name): BEAUTIFULLY YOU COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11-13 SUNFLOWER AVE STE 1060
PARAMUS NJ
07652-3754
US

IV. Provider business mailing address

11-13 SUNFLOWER AVE STE 1060
PARAMUS NJ
07652-3754
US

V. Phone/Fax

Practice location:
  • Phone: 267-733-5767
  • Fax:
Mailing address:
  • Phone: 267-733-5767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ABIGAIL RUTH EMMERT
Title or Position: PROFESSIONAL COUNSELOR
Credential: MA LPC NCC
Phone: 267-733-5767