Provider Demographics
NPI:1225743693
Name:ERICA SLOTA COUNSELING LLC
Entity Type:Organization
Organization Name:ERICA SLOTA COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SLOTA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, EA
Authorized Official - Phone:954-309-3826
Mailing Address - Street 1:154 KIEL AVE
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2547
Mailing Address - Country:US
Mailing Address - Phone:954-309-3826
Mailing Address - Fax:
Practice Address - Street 1:330 CHANGEBRIDGE RD STE 101
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9839
Practice Address - Country:US
Practice Address - Phone:973-400-9117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty