Provider Demographics
NPI:1346649407
Name:VOSSS CORNER COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:VOSSS CORNER COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSSELER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:908-451-4873
Mailing Address - Street 1:220 LENOX AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5101
Mailing Address - Country:US
Mailing Address - Phone:908-451-4873
Mailing Address - Fax:908-322-2657
Practice Address - Street 1:220 LENOX AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5101
Practice Address - Country:US
Practice Address - Phone:908-451-4873
Practice Address - Fax:908-322-2657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty