Greater New Jersey Creative Counseling Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SCO5540000 Issued in NJ

Legal business name

GREATER NEW JERSEY CREATIVE COUNSELING INC

Practice address

525 Route 73 N
Suite 104
Marlton, NJ 08053-3422

Phone

(717) 419-2756

NPI assigned

Aug 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dorothy M Dolan, LCSW

Title

President

Phone

(717) 419-2756

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1427503572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "717-419-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N",
            "address_2": "SUITE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "717-419-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW JERSEY CREATIVE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-419-2756",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SCO5540000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A Grady, D.D.S., M.S.
• Charles Graham, MSW
• Malvina Granovskaya, MS CCC-SLP
• Deanna Lynn Gray-Miceli, PHD., GNP-BC
• Greater New Jersey Creative Counseling
• Anthony Greco, CRNA
• Justin Jacob Green, MD
• Adele Greenhaus, LCSW
• Greentree Dental DRS LLC
• Greentree Dental Implants and Periodontics LLC

• Community/Behavioral Health Agency in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.