Provider Demographics
NPI:1639676935
Name:BEE WELL COUNSELING, DIANE GRUSZEWSKI
Entity Type:Organization
Organization Name:BEE WELL COUNSELING, DIANE GRUSZEWSKI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUSZEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MA,MSW,LCSW
Authorized Official - Phone:856-553-7617
Mailing Address - Street 1:18 PITMAN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PITMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08071-1136
Mailing Address - Country:US
Mailing Address - Phone:856-553-7617
Mailing Address - Fax:
Practice Address - Street 1:18 PITMAN AVE STE 102
Practice Address - Street 2:
Practice Address - City:PITMAN
Practice Address - State:NJ
Practice Address - Zip Code:08071-1136
Practice Address - Country:US
Practice Address - Phone:856-553-7617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-12
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty