Provider Demographics
NPI:1073833786
Name:JLC CONSULTING LLC
Entity Type:Organization
Organization Name:JLC CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-377-3790
Mailing Address - Street 1:17 SEVEN OAKS CIR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1313
Mailing Address - Country:US
Mailing Address - Phone:973-377-3790
Mailing Address - Fax:973-377-3790
Practice Address - Street 1:17 SEVEN OAKS CIR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1313
Practice Address - Country:US
Practice Address - Phone:973-377-3790
Practice Address - Fax:973-377-3790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1-09-6524251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health