Provider Demographics
NPI:1477783934
Name:STARFIRE COUNSELING CENTER
Entity Type:Organization
Organization Name:STARFIRE COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:FIGURELLI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:201-358-2343
Mailing Address - Street 1:520 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07102-1314
Mailing Address - Country:US
Mailing Address - Phone:201-643-4800
Mailing Address - Fax:
Practice Address - Street 1:520 MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-1314
Practice Address - Country:US
Practice Address - Phone:201-643-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-19
Last Update Date:2009-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)