Provider Demographics
NPI:1114674157
Name:THE NEIGHBORHOOD COUNSELING FOUNDATION
Entity Type:Organization
Organization Name:THE NEIGHBORHOOD COUNSELING FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ CO-FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTICE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAYNE-TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:973-910-1894
Mailing Address - Street 1:366 E 26TH ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514-1804
Mailing Address - Country:US
Mailing Address - Phone:973-910-1894
Mailing Address - Fax:
Practice Address - Street 1:20 MILL ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07501-4810
Practice Address - Country:US
Practice Address - Phone:973-910-1894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)