GRACE ABOUNDS COUNSELING & PSYCHOLOGICAL CONSULTIN NPI 1972996387

NPI Information

NPI: 1972996387
Provider Name: GRACE ABOUNDS COUNSELING & PSYCHOLOGICAL CONSULTIN
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 31D2215846

Address:
169 MAIN ST STE 102
MATAWAN, NJ
ZIP 07747
Phone: (732) 939-0355
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GRACE ABOUNDS COUNSELING & PSYCHOLOGICAL CONSULTIN is a professional counselor in Matawan, NJ. GRACE ABOUNDS COUNSELING & PSYCHOLOGICAL CONSULTIN NPI is 1972996387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

169 MAIN ST STE 102
MATAWAN, NJ
ZIP 07747-105
Phone: (732) 939-0355
Fax: (732) 441-3866

The provider's authorized official is Felicia Etuke .
The authorized official title is License Professional Counselor and has the following contact phone number (732) 696-8162.

The CLIA number assigned to this NPI record is 31D2215846 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2015 and was last updated on 3/9/2015.

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
1	101YP2500X	Counselor	Professional	37PC00483400	NEW JERSEY	Yes

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

NPI Synchronization or Removal

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