PARK BENCH GROUP COUNSELING LLC NPI 1487776738

NPI Information

  • NPI: 1487776738
  • Provider Name: PARK BENCH GROUP COUNSELING, LLC
  • Classification: Rehabilitation Hospital - 283X00000X
  • Entity Type: Organization
  • CLIA Number: 31D2220998
  • Address: 421 BETHEL RD
    SOMERS POINT, NJ
    ZIP 08244
  • Phone: (609) 365-2601

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NPI Details

PARK BENCH GROUP COUNSELING, LLC is a rehabilitation hospital in Somers Point, NJ. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. PARK BENCH GROUP COUNSELING, LLC NPI is 1487776738. The provider is registered as an organization entity type.

The provider's business location address is:

421 BETHEL RD
SOMERS POINT, NJ
ZIP 08244-081
Phone: (609) 365-2601
Fax: (609) 365-2519

The provider's authorized official is Randi Massey-alvarado .
The authorized official title is Co-owner and has the following contact phone number (609) 365-2601.

The CLIA number assigned to this NPI record is 31D2220998 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 5/27/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283X00000XRehabilitation Hospital200023007NEW JERSEYYes

What is NPI?

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This page was last updated on: 11/21/2025

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