Provider Demographics
NPI:1760690184
Name:WILLIAM SEIFRIED MA LPC LLC
Entity Type:Organization
Organization Name:WILLIAM SEIFRIED MA LPC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIFRIED
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:973-579-9111
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07851-0011
Mailing Address - Country:US
Mailing Address - Phone:973-579-9111
Mailing Address - Fax:
Practice Address - Street 1:30 MORAN ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1832
Practice Address - Country:US
Practice Address - Phone:973-579-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00309700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty