Provider Demographics
NPI:1255849543
Name:PAGANO COUNSELING, LLC
Entity Type:Organization
Organization Name:PAGANO COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:C
Authorized Official - Last Name:PAGANO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-645-0941
Mailing Address - Street 1:525 BOULEVARD STE 2
Mailing Address - Street 2:
Mailing Address - City:KENILWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07033-1611
Mailing Address - Country:US
Mailing Address - Phone:908-645-0941
Mailing Address - Fax:908-276-5400
Practice Address - Street 1:525 BOULEVARD STE 2
Practice Address - Street 2:
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033-1611
Practice Address - Country:US
Practice Address - Phone:908-645-0941
Practice Address - Fax:908-276-5400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-20
Last Update Date:2018-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00403500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty