| Central Counseling And Care Clinic Llc | |
|
80 Scenic Dr. Ste 08 Howell NJ 07731 | |
| (732) 538-8424 | |
| Not Available |
| Full Name | Central Counseling And Care Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 Scenic Dr. Ste 08, Howell, New Jersey |
| Authorized Official Name and Position | Diane Rene-oster (OWNER) |
| Authorized Official Contact | 6465229769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Counseling And Care Clinic Llc 80 Scenic Dr. Ste 8 Howell NJ 07731 Ph: (646) 522-9769 | Central Counseling And Care Clinic Llc 80 Scenic Dr. Ste 08 Howell NJ 07731 Ph: (732) 538-8424 |
| NPI Number | 1932876125 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 4981087525 |
|---|---|
| Medicare Enrollment ID | O20220816000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932876125 | NPI | - | NPPES |
| 0450431843 | Other | NJ | STATE OF NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jean M Christie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891912341 PECOS PAC ID: 2062789449 Enrollment ID: I20170607000090 |
| Provider Name | Diane Barnes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154748333 PECOS PAC ID: 2769866227 Enrollment ID: I20220901000061 |
| Provider Name | Fitsum E Alemu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255051306 PECOS PAC ID: 7012384100 Enrollment ID: I20221102001193 |
| Provider Name | Marie L Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497448310 PECOS PAC ID: 6800243924 Enrollment ID: I20231113000119 |
| Provider Name | Nicole Messink |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053962787 PECOS PAC ID: 9638510084 Enrollment ID: I20240515004578 |
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