Provider Demographics
NPI:1134871486
Name:ALTRUISTIC COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:ALTRUISTIC COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DETRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLES SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-566-1308
Mailing Address - Street 1:PO BOX 7063
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-0799
Mailing Address - Country:US
Mailing Address - Phone:973-566-1308
Mailing Address - Fax:
Practice Address - Street 1:66 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3702
Practice Address - Country:US
Practice Address - Phone:973-566-1308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty