Provider Demographics
NPI:1518355940
Name:JUST BETWEEN GIRLS
Entity Type:Organization
Organization Name:JUST BETWEEN GIRLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ANILO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:848-448-1690
Mailing Address - Street 1:1510 DORSET DOCK RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT BORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08742-4347
Mailing Address - Country:US
Mailing Address - Phone:848-448-1680
Mailing Address - Fax:
Practice Address - Street 1:1613 BEAVER DAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-5171
Practice Address - Country:US
Practice Address - Phone:848-448-1680
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-08
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00431600251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health