Provider Demographics
NPI:1093406944
Name:CALDWELL COUNSELING AND CONSULTANCY LLC
Entity Type:Organization
Organization Name:CALDWELL COUNSELING AND CONSULTANCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-420-1456
Mailing Address - Street 1:3 HIGHFIELD TER
Mailing Address - Street 2:
Mailing Address - City:NORTH CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-4710
Mailing Address - Country:US
Mailing Address - Phone:973-420-1456
Mailing Address - Fax:
Practice Address - Street 1:3 HIGHFIELD TER
Practice Address - Street 2:
Practice Address - City:NORTH CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-4710
Practice Address - Country:US
Practice Address - Phone:973-420-1456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty