Provider Demographics
NPI:1356613863
Name:RIMA A. MASON, MA, LPC, LLC
Entity type:Organization
Organization Name:RIMA A. MASON, MA, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:551-427-5101
Mailing Address - Street 1:PO BOX 1202
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-6202
Mailing Address - Country:US
Mailing Address - Phone:551-427-5101
Mailing Address - Fax:
Practice Address - Street 1:114 LAKESHORE DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:NJ
Practice Address - Zip Code:07436-2104
Practice Address - Country:US
Practice Address - Phone:551-427-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-30
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00420400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty