Healthcare Provider Details
I. General information
NPI: 1093903841
Provider Name (Legal Business Name): A NEW HORIZON COUNSELING & PSYCHOTHERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3633 HILL RD 2ND FLOOR
PARSIPPANY NJ
07054-1000
US
IV. Provider business mailing address
3633 HILL RD 2ND FLOOR
PARSIPPANY NJ
07054-1000
US
V. Phone/Fax
- Phone: 973-335-5525
- Fax: 973-335-5524
- Phone: 973-335-5525
- Fax: 973-335-5524
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | 37PC00045600 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 37PC00045600 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
JENNIFER
BUTLER
SWEENEY
Title or Position: CO-OWNER/CLINICIAN
Credential: PH.D., LPC
Phone: 973-335-5525