Provider Demographics
NPI:1639880222
Name:UNITY COUNSELING LLC
Entity type:Organization
Organization Name:UNITY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLIOTT-MASSIMI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:201-739-4170
Mailing Address - Street 1:501 N RTE 17 STE 1
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3000
Mailing Address - Country:US
Mailing Address - Phone:201-834-6558
Mailing Address - Fax:
Practice Address - Street 1:5 DATER LN
Practice Address - Street 2:
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-2912
Practice Address - Country:US
Practice Address - Phone:201-834-6558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty