Provider Demographics
NPI:1184012163
Name:DD COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:DD COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEVORA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEITCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-921-7736
Mailing Address - Street 1:9 OLDEN RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2921
Mailing Address - Country:US
Mailing Address - Phone:732-921-7736
Mailing Address - Fax:
Practice Address - Street 1:9 OLDEN RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2921
Practice Address - Country:US
Practice Address - Phone:732-921-7736
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-29
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04593600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health