MEDICARE: ELDERCARE COUNSELING, 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	101YM0800X	Mental Health Counselor	44SC00450800	NJ

General Provider Information

NPI Number	:	1144644337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELDERCARE COUNSELING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1731
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07962-1731
Country	:	US
Telephone Number	:	973-580-6708
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 CHESTNUT DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5602
Country	:	US
Telephone Number	:	973-580-6708
Fax Number	:

Authorized Official
Title or Position	:	CO-FOUNDER
Name	:	MS. MIRIAM J. TOONKEL
Credential	:	LCSW
Telephone Number	:	973-580-6708

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	05/29/2014

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