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PHOENIX COUNSELING CENTER LLC NPI 1619173184


NPI Information

NPI: 1619173184
Provider Name: PHOENIX COUNSELING CENTER LLC

Former Legal Business Name: PHOENIX PSYCHOLOGICAL ASSOCIATES, INC.

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
32 WERNIK PL STE F
METUCHEN, NJ
ZIP 08840
Phone: (732) 501-2097
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PHOENIX COUNSELING CENTER LLC is a professional counselor in Metuchen, NJ. PHOENIX COUNSELING CENTER LLC NPI is 1619173184. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Phoenix Psychological Associates, Inc..

The provider's business location address is:

32 WERNIK PL STE F
METUCHEN, NJ
ZIP 08840-467
Phone: (732) 501-2097
Fax: (848) 229-2732

The provider's authorized official is Barbara A Macfie .
The authorized official title is Sole Owner and has the following contact phone number (732) 501-2097.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/3/2012.


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
1101YP2500XCounselorProfessional37PC00335400NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10400185380OTHERNEW JERSEYBUSINESS ENTITY FILING NU

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: 5/5/2024

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