| Excelsior Counseling Llc | |
|
36 Midvale Rd Ste 1f Mountain Lakes NJ 07046-1330 | |
| (973) 902-9925 | |
| Not Available |
| Full Name | Excelsior Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 36 Midvale Rd Ste 1f, Mountain Lakes, New Jersey |
| Authorized Official Name and Position | Christopher Langford (MANAGING PARTNER) |
| Authorized Official Contact | 9735635688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Counseling Llc 36 Midvale Rd Ste 1f Mountain Lakes NJ 07046-1330 Ph: (973) 902-9925 | Excelsior Counseling Llc 36 Midvale Rd Ste 1f Mountain Lakes NJ 07046-1330 Ph: (973) 902-9925 |
| NPI Number | 1457915241 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 04/26/2019 |
| Medicare PECOS PAC ID | 0648702126 |
|---|---|
| Medicare Enrollment ID | O20241022003802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457915241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jaime Ellen Langford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770893166 PECOS PAC ID: 9638601115 Enrollment ID: I20241206000155 |
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