| Enterprise Counseling Llc | |
|
88 Schoolhouse Road Whiting NJ 08759 | |
| (732) 350-7780 | |
| (732) 833-1441 |
| Full Name | Enterprise Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 88 Schoolhouse Road, Whiting, New Jersey |
| Authorized Official Name and Position | Diane S Palmer (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7323507780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterprise Counseling Llc Po Box 276 Whiting NJ 08759 Ph: () - | Enterprise Counseling Llc 88 Schoolhouse Road Whiting NJ 08759 Ph: (732) 350-7780 |
| NPI Number | 1922297027 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 04/24/2008 |
| Medicare PECOS PAC ID | 5395753768 |
|---|---|
| Medicare Enrollment ID | O20060327000342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922297027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00090800 (New Jersey) | Primary |
| Provider Name | Diane S Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528036126 PECOS PAC ID: 3476520768 Enrollment ID: I20040915000923 |
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