Provider Demographics
NPI:1801498027
Name:LIVE PRESENTLY COUNSELING
Entity type:Organization
Organization Name:LIVE PRESENTLY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER /CLINICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:CATERINA
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:201-676-0075
Mailing Address - Street 1:452 LAWTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1911
Mailing Address - Country:US
Mailing Address - Phone:201-456-6436
Mailing Address - Fax:
Practice Address - Street 1:232 MADISON AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-1949
Practice Address - Country:US
Practice Address - Phone:201-456-6436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-12
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty