Red Bank Counseling LLC
Organization Active NPI Psychologist · Red Bank, NJ
NPI 1659929883 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1659929883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- Legal business name
- RED BANK COUNSELING LLC
- Practice address
- 130 Maple Ave Ste 3D
Red Bank, NJ 07701-1729 - Phone
- (732) 747-9221
- Fax
- (732) 747-6286
- NPI assigned
- Aug 30, 2019
- Organization subpart
- No
Authorized official
- Name
- Karen Michelle Faherty, PHD
- Title
- Owner
- Phone
- (732) 747-9221
Practitioners 1
-
Kerry Anne O'Connor, LCSW
National Provider Directory
Locations
130 Maple Ave
Ste 3D
Red Bank, NJ 07701
Phone (732) 747-9221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Psychologist |
103T00000X | Yes | ||
| Social Worker |
104100000X |
Addresses
Primary practice location
130 Maple Ave Ste 3D
Red Bank, NJ 07701-1729
Mailing address
5 Holly Dr
Little Silver, NJ 07739-1613
Phone (732) 383-8141
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. 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.