Provider Demographics
NPI:1669049037
Name:GRATEFUL COUNSELING SERVICES
Entity type:Organization
Organization Name:GRATEFUL COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOQUET
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:917-612-1494
Mailing Address - Street 1:820 BOGERT RD
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2300
Mailing Address - Country:US
Mailing Address - Phone:917-612-1494
Mailing Address - Fax:
Practice Address - Street 1:820 BOGERT RD
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2300
Practice Address - Country:US
Practice Address - Phone:917-612-1494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-05
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1497156335OtherNPI