Provider Demographics
NPI:1679022735
Name:TALK FROM THE HEART COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:TALK FROM THE HEART COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-996-2667
Mailing Address - Street 1:1955 SPRINGFIELD AVE
Mailing Address - Street 2:208F
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-3441
Mailing Address - Country:US
Mailing Address - Phone:973-996-2667
Mailing Address - Fax:973-843-7918
Practice Address - Street 1:1955 SPRINGFIELD AVE
Practice Address - Street 2:208F
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3441
Practice Address - Country:US
Practice Address - Phone:973-996-2667
Practice Address - Fax:973-843-7918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-29
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty