Provider Demographics
NPI:1013283795
Name:BEDMINSTER FAR HILLS COUNSELING CENTER
Entity Type:Organization
Organization Name:BEDMINSTER FAR HILLS COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:N
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:EDS
Authorized Official - Phone:908-781-7900
Mailing Address - Street 1:PO BOX 595
Mailing Address - Street 2:
Mailing Address - City:FAR HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07931-0595
Mailing Address - Country:US
Mailing Address - Phone:908-781-7900
Mailing Address - Fax:
Practice Address - Street 1:43 ROUTE 202
Practice Address - Street 2:
Practice Address - City:FAR HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07931
Practice Address - Country:US
Practice Address - Phone:908-781-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00145500251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ=========Medicare PIN