| Journey Counseling Center Llc | |
|
17 Newark Bay Ct Bayonne NJ 07002-1904 | |
| (201) 320-8130 | |
| Not Available |
| Full Name | Journey Counseling Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Newark Bay Ct, Bayonne, New Jersey |
| Authorized Official Name and Position | Victor Hugo Llerena (PRESIDENT) |
| Authorized Official Contact | 2013208130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling Center Llc 17 Newark Bay Ct Bayonne NJ 07002-1904 Ph: (201) 320-8130 | Journey Counseling Center Llc 17 Newark Bay Ct Bayonne NJ 07002-1904 Ph: (201) 320-8130 |
| NPI Number | 1871027763 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/20/2017 |
| Medicare PECOS PAC ID | 6406122597 |
|---|---|
| Medicare Enrollment ID | O20171017002249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871027763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05668700 (New Jersey) | Primary |
| Provider Name | Victor Llerena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043636632 PECOS PAC ID: 7214203306 Enrollment ID: I20171017002581 |
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