| Galloway Counseling Llc | |
|
329 E Jimmie Leeds Rd Galloway NJ 08205-4110 | |
| (609) 553-6439 | |
| Not Available |
| Full Name | Galloway Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 329 E Jimmie Leeds Rd, Galloway, New Jersey |
| Authorized Official Name and Position | Brighid Noel (LCSW/OWNER) |
| Authorized Official Contact | 6095536439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galloway Counseling Llc 329 E Jimmie Leeds Rd Galloway NJ 08205-4110 Ph: (609) 553-6439 | Galloway Counseling Llc 329 E Jimmie Leeds Rd Galloway NJ 08205-4110 Ph: (609) 553-6439 |
| NPI Number | 1316486335 |
|---|---|
| Provider Enumeration Date | 02/23/2017 |
| Last Update Date | 01/07/2020 |
| Certification Date | 01/07/2020 |
| Medicare PECOS PAC ID | 5496164345 |
|---|---|
| Medicare Enrollment ID | O20210506000969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316486335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05392500 (New Jersey) | Primary |
| Provider Name | Brighid Noel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619207255 PECOS PAC ID: 4587082375 Enrollment ID: I20200910001590 |
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