Provider Demographics
NPI:1336689942
Name:RJ TOLAN COUNSELING LLC
Entity Type:Organization
Organization Name:RJ TOLAN COUNSELING LLC
Other - Org Name:RACHEL TOLAN COUNSELING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:TOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:781-733-1451
Mailing Address - Street 1:900 CUMMINGS CTR
Mailing Address - Street 2:SUITE 409-T
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6198
Mailing Address - Country:US
Mailing Address - Phone:781-733-1451
Mailing Address - Fax:844-400-3587
Practice Address - Street 1:900 CUMMINGS CTR
Practice Address - Street 2:SUITE 409-T
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6198
Practice Address - Country:US
Practice Address - Phone:781-733-1451
Practice Address - Fax:844-400-3587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116721101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty