Provider Demographics
NPI:1821666512
Name:GRANZIN'S COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:GRANZIN'S COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA LPC
Authorized Official - Prefix:
Authorized Official - First Name:STEFANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANZIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-642-1658
Mailing Address - Street 1:236 CLUB DRIVE
Mailing Address - Street 2:
Mailing Address - City:WALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-9451
Mailing Address - Country:US
Mailing Address - Phone:732-244-2775
Mailing Address - Fax:732-244-1005
Practice Address - Street 1:HERITAGE COMMONS EXECUTIVE OFFICES
Practice Address - Street 2:2164 HIGHWAY 35 BLD C STE 6
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1013
Practice Address - Country:US
Practice Address - Phone:732-244-2775
Practice Address - Fax:732-244-1005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty