Healthcare Provider Details

I. General information

NPI: 1477605384
Provider Name (Legal Business Name): ASSOCIATES FOR COUNSELING & THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 W RIDGEWOOD AVE 3RD FLOOR
RIDGEWOOD NJ
07450-3197
US

IV. Provider business mailing address

60 W RIDGEWOOD AVE 3RD FLOOR
RIDGEWOOD NJ
07450-3197
US

V. Phone/Fax

Practice location:
  • Phone: 201-967-1100
  • Fax: 201-568-6339
Mailing address:
  • Phone: 201-967-1100
  • Fax: 201-568-6339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00126800
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00197500
License Number StateNJ

VIII. Authorized Official

Name: STEVEN KHANJIAN
Title or Position: PRESIDENT
Credential: L.P.C., & L.C.A.D.C
Phone: 201-967-1100