Provider Demographics
NPI:1699227736
Name:NORTH JERSEY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:NORTH JERSEY COUNSELING SERVICES, LLC
Other - Org Name:STRIVE HEALTH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:BLAS
Authorized Official - Last Name:REYES-CAPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-450-3665
Mailing Address - Street 1:4 FOREST AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652
Mailing Address - Country:US
Mailing Address - Phone:201-565-2920
Mailing Address - Fax:
Practice Address - Street 1:4 FOREST AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-565-2920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-25
Last Update Date:2018-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder