Provider Demographics
NPI:1972364313
Name:SHORE CHILD COUNSELING INC.
Entity Type:Organization
Organization Name:SHORE CHILD COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABOTKA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW, LCADC
Authorized Official - Phone:732-673-8619
Mailing Address - Street 1:10 TROON CT
Mailing Address - Street 2:
Mailing Address - City:LINCROFT
Mailing Address - State:NJ
Mailing Address - Zip Code:07738-1223
Mailing Address - Country:US
Mailing Address - Phone:732-673-8619
Mailing Address - Fax:
Practice Address - Street 1:170 AVENUE AT THE CMN
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4803
Practice Address - Country:US
Practice Address - Phone:732-673-8619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health