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WAY OF THE SPIRIT COUNSELING SERVICES INC NPI 1518335249


NPI Information

NPI: 1518335249
Provider Name: WAY OF THE SPIRIT COUNSELING SERVICES INC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2600 MOUNT EPHRAIM AVE
SUITE 405
CAMDEN, NJ
ZIP 08104
Phone: (856) 963-7323
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WAY OF THE SPIRIT COUNSELING SERVICES INC is a rehabilitation and substance use disorder clinic center in Camden, NJ. WAY OF THE SPIRIT COUNSELING SERVICES INC NPI is 1518335249. The provider is registered as an organization entity type.

The provider's business location address is:

2600 MOUNT EPHRAIM AVE
SUITE 405
CAMDEN, NJ
ZIP 08104-236
Phone: (856) 963-7323
Fax: (856) 963-7324

The provider's authorized official is Jacqueline P Cooke .
The authorized official title is Medical Director and has the following contact phone number (856) 963-0500.

The enumeration date for this NPI number is 9/11/2015 and was last updated on 5/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)NEW JERSEYNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10492043LRMEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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