Provider Demographics
NPI:1598471807
Name:WELCOME SOLACE COUNSELING
Entity Type:Organization
Organization Name:WELCOME SOLACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATTILIO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-626-0363
Mailing Address - Street 1:600 VALLEY RD STE 202
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3551
Mailing Address - Country:US
Mailing Address - Phone:973-626-0363
Mailing Address - Fax:973-706-8689
Practice Address - Street 1:600 VALLEY RD STE 202
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3551
Practice Address - Country:US
Practice Address - Phone:973-626-0363
Practice Address - Fax:973-706-8689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)