Provider Demographics
NPI:1932552825
Name:STRESS MANAGEMENT COUNSELING CENTER, LLC
Entity Type:Organization
Organization Name:STRESS MANAGEMENT COUNSELING CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DOUGLASS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, LCADC, NCC
Authorized Official - Phone:908-235-8337
Mailing Address - Street 1:186 CENTER ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLINTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08809-1385
Mailing Address - Country:US
Mailing Address - Phone:908-235-8337
Mailing Address - Fax:908-200-7482
Practice Address - Street 1:186 CENTER ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1385
Practice Address - Country:US
Practice Address - Phone:908-235-8337
Practice Address - Fax:908-200-7482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-15
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00185300101YA0400X
NJ37PC00443300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1548535438OtherNPI - NANCY L. DOUGLASS