Healthcare Provider Details

I. General information

NPI: 1265364889
Provider Name (Legal Business Name): NEW LIGHT COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SMITH LN
WAYNE NJ
07470-5346
US

IV. Provider business mailing address

4 SMITH LN
WAYNE NJ
07470-5346
US

V. Phone/Fax

Practice location:
  • Phone: 201-851-2254
  • Fax:
Mailing address:
  • Phone: 201-851-2254
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MELISSA HENAO
Title or Position: CEO/CLINICIAN
Credential: LPC
Phone: 201-851-2254