Provider Demographics
NPI:1659716538
Name:CATALYST COUNSELING SERVICES
Entity Type:Organization
Organization Name:CATALYST COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:PRO-MENNER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:201-572-3600
Mailing Address - Street 1:710 GINGER LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2208
Mailing Address - Country:US
Mailing Address - Phone:551-427-9802
Mailing Address - Fax:
Practice Address - Street 1:9 POST RD
Practice Address - Street 2:BLDG SUITE 6
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-1618
Practice Address - Country:US
Practice Address - Phone:201-572-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO5191700251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health