Organization · NPI-2
Embracing Change Counseling Services LLC
Clinic/Center, Adult Mental Health · Livingston, NJ
NPI number1821645078
StatusActive
Last updated in NPPESAug 22, 2019
Details
- NPI
- 1821645078
- Entity type
- Organization (NPI-2)
- Legal business name
- Embracing Change Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 22, 2019
- Last updated
- Aug 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
301 S Livingston Ave Ste 205dLivingston, NJ 07039-3929
Phone 201-367-1667
Mailing address
154 Jewett AveJersey City, NJ 07304-2004
Phone 201-892-7651
Authorized official
Erica N Cannedy
Owner/ Clinician
2013671667
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