Provider Demographics
NPI:1699827741
Name:ASSOCIATED COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:ASSOCIATED COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TOBIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL GRUDICE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-257-0123
Mailing Address - Street 1:281 SUMMERHILL RD
Mailing Address - Street 2:STE 209
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-238-1133
Mailing Address - Fax:732-257-0123
Practice Address - Street 1:281 SUMMERHILL RD
Practice Address - Street 2:STE 209
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816
Practice Address - Country:US
Practice Address - Phone:732-238-1133
Practice Address - Fax:732-257-0123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ548103TC0700X
NJ44SC000346001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty