4TH and Grove LLC
Organization Active NPI Mental Health Counselor · Glassboro, NJ
NPI 1831762228 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1831762228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- 4TH AND GROVE LLC
- Practice address
- 480 Defrancesco Cir
Glassboro, NJ 08028-4906 - Phone
- (856) 441-5216
- NPI assigned
- Jul 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Rosana Gilles-Lamontagne, LPC
- Title
- Owner
- Phone
- (856) 441-5216
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
480 Defrancesco Cir
Glassboro, NJ 08028-4906
Mailing address
PO Box 752
Glassboro, NJ 08028-0752
Phone (856) 441-5216
Other names
- 4th and Grove Counseling LLC
Other providers in Glassboro, NJ
All providers in Glassboro, NJ · Mental Health Counselor 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 Jul 22, 2021. 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.