Provider Demographics
NPI:1639800592
Name:SEVENTH HEAVEN COUNSELING SERVICES
Entity Type:Organization
Organization Name:SEVENTH HEAVEN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRAVIKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:347-499-9597
Mailing Address - Street 1:32 BAYARD PL FL 1
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-3634
Mailing Address - Country:US
Mailing Address - Phone:347-499-9597
Mailing Address - Fax:
Practice Address - Street 1:32 BAYARD PL FL 1
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07106-3634
Practice Address - Country:US
Practice Address - Phone:347-499-9597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty