Provider Demographics
NPI:1518335496
Name:MORRIS COUNTY COUNSELING SERVICES
Entity Type:Organization
Organization Name:MORRIS COUNTY COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:NANDY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-219-9008
Mailing Address - Street 1:95 W 13TH ST
Mailing Address - Street 2:1ST FLR
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1343
Mailing Address - Country:US
Mailing Address - Phone:201-668-1001
Mailing Address - Fax:201-510-0758
Practice Address - Street 1:147 COLUMBIA TPKE STE 307
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2145
Practice Address - Country:US
Practice Address - Phone:201-668-1001
Practice Address - Fax:201-510-0758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-09
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00350300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty