Healthcare Provider Details

I. General information

NPI: 1912767989
Provider Name (Legal Business Name): NJ COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 ROUTE 46 STE 140W
PARSIPPANY NJ
07054-2361
US

IV. Provider business mailing address

322 US HIGHWAY 46
PARSIPPANY NJ
07054-2352
US

V. Phone/Fax

Practice location:
  • Phone: 201-669-4674
  • Fax:
Mailing address:
  • Phone: 201-726-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELA VALENTINA NUNEZ-CASTORO
Title or Position: CLINICIAN
Credential: LCSW
Phone: 201-726-0023