Provider Demographics
NPI:1477605384
Name:ASSOCIATES FOR COUNSELING & THERAPY, LLC
Entity Type:Organization
Organization Name:ASSOCIATES FOR COUNSELING & THERAPY, LLC
Other - Org Name:ACT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANJIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, & LCADC
Authorized Official - Phone:201-967-1100
Mailing Address - Street 1:60 W RIDGEWOOD AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3197
Mailing Address - Country:US
Mailing Address - Phone:201-967-1100
Mailing Address - Fax:201-568-6339
Practice Address - Street 1:60 W RIDGEWOOD AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3197
Practice Address - Country:US
Practice Address - Phone:201-967-1100
Practice Address - Fax:201-568-6339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00126800101YA0400X
NJ37PC00197500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty