Provider Demographics
NPI:1922720713
Name:CONNECTED PARENT COUNSELING, COACHING, AND CONSULTING
Entity Type:Organization
Organization Name:CONNECTED PARENT COUNSELING, COACHING, AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-894-3793
Mailing Address - Street 1:1000 TYSLEY PL
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1627
Mailing Address - Country:US
Mailing Address - Phone:908-894-3793
Mailing Address - Fax:
Practice Address - Street 1:1000 TYSLEY PL
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1627
Practice Address - Country:US
Practice Address - Phone:908-894-3793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)