MEDICARE: FOUR SEASONS COUNSELING GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1003424854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUR SEASONS COUNSELING GROUP LLC

Provider Business Mailing Address
First Line	:	2 NORTH RD APT 3
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-7184
Country	:	US
Telephone Number	:	732-455-1303
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 NORTH RD APT 3
Second Line	:
City	:	WARREN
State	:	NJ
Zip	:	07059-7184
Country	:	US
Telephone Number	:	908-332-8342
Fax Number	:

Authorized Official
Title or Position	:	OWNER/LICENSED PROFESSIONAL COUNSEL
Name	:	PAULINA LEVINZON
Credential	:	LPC
Telephone Number	:	732-455-1303

Provider Enumeration Date	:	07/17/2020
Last Update Date	:	09/04/2025

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