Provider Demographics
NPI:1083336408
Name:PROLOGUE THERAPY AND RELATIONSHIP COUNSELING
Entity Type:Organization
Organization Name:PROLOGUE THERAPY AND RELATIONSHIP COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; LMFT
Authorized Official - Prefix:MISS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOCORRIERE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:908-271-8547
Mailing Address - Street 1:17 PROSPECT HL APT 1A
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1327
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 PROSPECT HL APT 1A
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1327
Practice Address - Country:US
Practice Address - Phone:908-271-8547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)