Provider Demographics
NPI:1164196663
Name:PROFESSIONAL COUNSELING SERVICES OF CENTRAL NEW JERSEY, LLC
Entity Type:Organization
Organization Name:PROFESSIONAL COUNSELING SERVICES OF CENTRAL NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELAIDA
Authorized Official - Middle Name:ARACELI
Authorized Official - Last Name:SALMERON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-582-9852
Mailing Address - Street 1:134 HATFIELD LN
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5637
Mailing Address - Country:US
Mailing Address - Phone:848-565-4349
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST STE 211
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3906
Practice Address - Country:US
Practice Address - Phone:732-582-9852
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty