Provider Demographics
NPI:1073974358
Name:SYNCERE CONSULTANTS, INC.
Entity Type:Organization
Organization Name:SYNCERE CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:DUNCN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LCADC
Authorized Official - Phone:551-265-8150
Mailing Address - Street 1:156 ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1609
Mailing Address - Country:US
Mailing Address - Phone:551-265-8150
Mailing Address - Fax:291-996-9344
Practice Address - Street 1:156 ALLEN ST
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1609
Practice Address - Country:US
Practice Address - Phone:551-265-8150
Practice Address - Fax:291-996-9344
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-14
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YA0400X
NJ44SC054237001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty