Provider Demographics
NPI:1720237035
Name:G.E.M. COUNSELING ASSOCIATES, LLC
Entity Type:Organization
Organization Name:G.E.M. COUNSELING ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:GEMENDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC
Authorized Official - Phone:732-671-6222
Mailing Address - Street 1:1715 HWY 35
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1867
Mailing Address - Country:US
Mailing Address - Phone:732-671-6222
Mailing Address - Fax:732-671-8383
Practice Address - Street 1:1715 HWY 35
Practice Address - Street 2:SUITE 103
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-1867
Practice Address - Country:US
Practice Address - Phone:732-671-6222
Practice Address - Fax:732-671-8383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00012800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty