Provider Demographics
NPI: | 1790275154 |
---|---|
Name: | BNS COUNSELING LLC |
Entity Type: | Organization |
Organization Name: | BNS COUNSELING LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRIANNE |
Authorized Official - Middle Name: | NISSEN |
Authorized Official - Last Name: | SHAPPELL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MSW, LCSW |
Authorized Official - Phone: | 201-362-7075 |
Mailing Address - Street 1: | 114 S 2ND ST |
Mailing Address - Street 2: | |
Mailing Address - City: | PHILLIPSBURG |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08865-1806 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 201-362-7075 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 114 S 2ND ST |
Practice Address - Street 2: | |
Practice Address - City: | PHILLIPSBURG |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08865-1806 |
Practice Address - Country: | US |
Practice Address - Phone: | 201-362-7075 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-05-11 |
Last Update Date: | 2018-05-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NJ | 44SC05412500 | 1041C0700X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |