Provider Demographics
NPI:1548584261
Name:CARING CONFIDENTIAL COUNSELING LLC
Entity Type:Organization
Organization Name:CARING CONFIDENTIAL COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGUERITE
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:HEATON-COLELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, BCPCC
Authorized Official - Phone:609-457-1769
Mailing Address - Street 1:646 W OCEAN HEIGHTS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1009
Mailing Address - Country:US
Mailing Address - Phone:609-457-1769
Mailing Address - Fax:
Practice Address - Street 1:646 W OCEAN HEIGHTS AVE STE 101
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1009
Practice Address - Country:US
Practice Address - Phone:609-457-1769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-24
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046350001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1548584261OtherBUSINESS NPI
11778854OtherCAQH NPI 1386842060
11778854OtherCAQH NPI 1386842060