Provider Demographics
NPI:1093491136
Name:BUTTERFLY EFFECT COUNSELING AND CONSULTING LLC
Entity Type:Organization
Organization Name:BUTTERFLY EFFECT COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:JONES-AWOLUSI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:848-210-6132
Mailing Address - Street 1:1000 STATE ROUTE 34 STE 301
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3485
Mailing Address - Country:US
Mailing Address - Phone:732-858-1533
Mailing Address - Fax:
Practice Address - Street 1:1000 STATE ROUTE 34 STE 301
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3485
Practice Address - Country:US
Practice Address - Phone:732-858-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty