Provider Demographics
NPI:1104212356
Name:CARAMENICO COUNSELING GROUP, LLC
Entity Type:Organization
Organization Name:CARAMENICO COUNSELING GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR/CLINICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ERB
Authorized Official - Last Name:CARAMENICO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:267-454-5322
Mailing Address - Street 1:22 BERKELEY CT
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2643
Mailing Address - Country:US
Mailing Address - Phone:267-454-5322
Mailing Address - Fax:
Practice Address - Street 1:800 W STATE ST
Practice Address - Street 2:SUITE 303
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2250
Practice Address - Country:US
Practice Address - Phone:267-454-5322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004773101YP2500X
PACW0170821041C0700X
PAMF000624106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty