Center for Counseling and Wellness, LLC

Organization Active NPI Community/Behavioral Health Agency · Upper Montclair, NJ

NPI 1063733004 · NPPES record last updated Jun 14, 2010

Key facts

NPI
1063733004
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
44SC05200300 (NJ)
Legal business name
CENTER FOR COUNSELING AND WELLNESS, LLC
Practice address
622-624 Valley Road
Suite 6
Upper Montclair, NJ 07043
Phone
(973) 953-7800
Fax
(973) 696-8323
NPI assigned
Jun 14, 2010
Organization subpart
No

Authorized official

Name
Ms. Patricia Henderson, LCSW
Title
Owner
Phone
(973) 953-7800

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 44SC05200300 NJ Yes

Addresses

Primary practice location

622-624 Valley Road
Suite 6
Upper Montclair, NJ 07043

Mailing address

622-624 Valley Road
Suite 6
Upper Montclair, NJ 07043
Phone (973) 953-7800

Other providers in Upper Montclair, NJ

All providers in Upper Montclair, NJ · Community/Behavioral Health Agency in New Jersey

Sources for this page

Verify at the official NPI Registry.