Healthcare Provider Details

I. General information

NPI: 1215862669
Provider Name (Legal Business Name): BLISS COMMUNITY AND COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

377 VALLEY RD # 1024
CLIFTON NJ
07013-1319
US

IV. Provider business mailing address

377 VALLEY RD # 1024
CLIFTON NJ
07013-1319
US

V. Phone/Fax

Practice location:
  • Phone: 973-433-6606
  • Fax:
Mailing address:
  • Phone: 973-433-6606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. LISSETTE LABOL
Title or Position: CEO
Credential: LCSW
Phone: 973-931-1654