Provider Demographics
NPI:1548793102
Name:ASPIRE TO ACHIEVE COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:ASPIRE TO ACHIEVE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC. DIR./OWNER/SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRITT-MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:856-254-0828
Mailing Address - Street 1:215 HIGHLAND AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2634
Mailing Address - Country:US
Mailing Address - Phone:856-254-0828
Mailing Address - Fax:856-854-0992
Practice Address - Street 1:215 HIGHLAND AVE STE C
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2634
Practice Address - Country:US
Practice Address - Phone:856-254-0828
Practice Address - Fax:856-254-0828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-10
Last Update Date:2018-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC0445536200251S00000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ424681ZHYFOther82551 ENROLLMENT TYPE