Provider Demographics
NPI:1730623406
Name:ALL STAR COUNSELING LLC
Entity type:Organization
Organization Name:ALL STAR COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO AND LPC
Authorized Official - Prefix:
Authorized Official - First Name:ISIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:LACEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-590-4242
Mailing Address - Street 1:1369 NORTH AVE
Mailing Address - Street 2:APT 21
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-2626
Mailing Address - Country:US
Mailing Address - Phone:864-547-7222
Mailing Address - Fax:
Practice Address - Street 1:1493 TRINITY CHURCH RD
Practice Address - Street 2:
Practice Address - City:GRAY COURT
Practice Address - State:SC
Practice Address - Zip Code:29645-7800
Practice Address - Country:US
Practice Address - Phone:201-590-4242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty