Provider Demographics
NPI:1700545167
Name:NORTH NJ COUNSELING LLC
Entity Type:Organization
Organization Name:NORTH NJ COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:REARDON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:551-427-6351
Mailing Address - Street 1:12 LEYSTRA LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2419
Mailing Address - Country:US
Mailing Address - Phone:551-427-6351
Mailing Address - Fax:
Practice Address - Street 1:12 LEYSTRA LN
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2419
Practice Address - Country:US
Practice Address - Phone:551-427-6351
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-14
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty