Provider Demographics
NPI:1790798627
Name:DIAMOND COUNSELING, LLC
Entity Type:Organization
Organization Name:DIAMOND COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHABAREK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-462-7877
Mailing Address - Street 1:253 MAIN ST STE 311
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3222
Mailing Address - Country:US
Mailing Address - Phone:732-462-7877
Mailing Address - Fax:732-462-7879
Practice Address - Street 1:331 NEWMAN SPRINGS ROAD
Practice Address - Street 2:BUILDING 1, 4TH FLOOR, SUITE 143
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5688
Practice Address - Country:US
Practice Address - Phone:732-462-7877
Practice Address - Fax:732-462-7879
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05254900251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management