Provider Demographics
NPI:1770022188
Name:CONNECT OUR HEARTS COUNSELING SERVICES
Entity Type:Organization
Organization Name:CONNECT OUR HEARTS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:215-815-8075
Mailing Address - Street 1:1930 MARLTON PIKE E
Mailing Address - Street 2:SUITE K57
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2150
Mailing Address - Country:US
Mailing Address - Phone:215-815-8075
Mailing Address - Fax:856-778-4271
Practice Address - Street 1:1930 MARLTON PIKE E
Practice Address - Street 2:SUITE K57
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2150
Practice Address - Country:US
Practice Address - Phone:215-815-8075
Practice Address - Fax:856-778-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00179200106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty