Back to Center Counseling, LLC
Organization Active NPI Clinical Social Worker · Ocean, NJ
NPI 1659797389 · NPPES record last updated Mar 5, 2014
Key facts
- NPI
- 1659797389
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05484100 (NJ)
- Legal business name
- BACK TO CENTER COUNSELING, LLC
- Practice address
- 1316 Opdyke Ave
Ocean, NJ 07712-4646 - Phone
- (908) 902-1356
- Fax
- (732) 807-3088
- NPI assigned
- Mar 5, 2014
- Organization subpart
- No
Authorized official
- Name
- Gwen Marlatt Vela, LCSW
- Title
- Psychotherapist
- Phone
- (908) 902-1356
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 44SC05484100 | NJ | Yes |
Addresses
Primary practice location
1316 Opdyke Ave
Ocean, NJ 07712-4646
Mailing address
1316 Opdyke Ave
Ocean, NJ 07712-4646
Phone (908) 902-1356
Other providers in Ocean, NJ
- Atlantic Center for Aging
- Atlantic Medical Associates
- Atlantic Medical Physicians LLC
- Caitlin Ault
- Pamela Michelle Baccaro
- Madeline M. Badalaty
- Brett Bagley
- Samuel David Balk
- Lisa Veronica Bankes
- Erinn Barnes
All providers in Ocean, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.