Provider Demographics
NPI:1669925665
Name:COUNSELING WITH A DIFFERENCE
Entity type:Organization
Organization Name:COUNSELING WITH A DIFFERENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL COUNSELOR, CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANYA
Authorized Official - Middle Name:KHAN
Authorized Official - Last Name:BARI
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC, NCC, CTS
Authorized Official - Phone:973-713-7634
Mailing Address - Street 1:10 GUNTHERS VW
Mailing Address - Street 2:
Mailing Address - City:TOWACO
Mailing Address - State:NJ
Mailing Address - Zip Code:07082-1359
Mailing Address - Country:US
Mailing Address - Phone:973-713-7634
Mailing Address - Fax:
Practice Address - Street 1:115 US HIGHWAY 46 W
Practice Address - Street 2:SUITE B-11
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1668
Practice Address - Country:US
Practice Address - Phone:973-327-7724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2020-06-02
Deactivation Date:2017-03-01
Deactivation Code:
Reactivation Date:2020-06-02
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00549800261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)