Provider Demographics
NPI:1013071083
Name:YOUTH & FAMILY COUNSELING SERVICE INC
Entity Type:Organization
Organization Name:YOUTH & FAMILY COUNSELING SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:M
Authorized Official - Last Name:PEDRO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-233-2042
Mailing Address - Street 1:233 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-4005
Mailing Address - Country:US
Mailing Address - Phone:908-233-2042
Mailing Address - Fax:
Practice Address - Street 1:233 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-4005
Practice Address - Country:US
Practice Address - Phone:908-233-2042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ701291Medicare UPIN
NJ701291Medicare Oscar/Certification
NJ701291Medicare PIN