The Center for Christian Counseling & Relationship Development, L.L.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC000679 Issued in NJ

Legal business name

THE CENTER FOR CHRISTIAN COUNSELING & RELATIONSHIP DEVELOPMENT, L.L.C.

Practice address

651 Route 73 N
Pavilions at Greentree, Suite 303
Marlton, NJ 08053-3444

Phone

(856) 396-0111

Fax

(856) 396-0066

NPI assigned

Jan 8, 2015

Last updated

Jan 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frank Philip Mancuso, PH.D.

Title

Clinical Director

Phone

(856) 396-0111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1477941714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N.",
            "address_2": "PAVILIONS AT GREENTREE, SUITE 303",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532820",
            "telephone_number": "856-396-0111",
            "fax_number": "856-396-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ROUTE 73 N",
            "address_2": "PAVILIONS AT GREENTREE, SUITE 303",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533444",
            "telephone_number": "856-396-0111",
            "fax_number": "856-396-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CHRISTIAN COUNSELING & RELATIONSHIP DEVELOPMENT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "856-396-0111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "PC000679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.