| Manasquan Counseling Center Llc | |
|
38 Taylor Ave Ste 1 Manasquan NJ 08736-3047 | |
| (732) 612-8635 | |
| (732) 223-8004 |
| Full Name | Manasquan Counseling Center Llc |
|---|---|
| Speciality | Counselor |
| Location | 38 Taylor Ave Ste 1, Manasquan, New Jersey |
| Authorized Official Name and Position | Sonora Ann Foster (OWNER/THERAPIST) |
| Authorized Official Contact | 7326128635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manasquan Counseling Center Llc 38 Taylor Ave Ste 1 Manasquan NJ 08736-3047 Ph: (732) 612-8635 | Manasquan Counseling Center Llc 38 Taylor Ave Ste 1 Manasquan NJ 08736-3047 Ph: (732) 612-8635 |
| NPI Number | 1043804131 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 12/16/2022 |
| Certification Date | 12/16/2022 |
| Medicare PECOS PAC ID | 9537539861 |
|---|---|
| Medicare Enrollment ID | O20230103002068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043804131 | NPI | - | NPPES |
| 1366850141 | Other | NPI | |
| 1366850141 | Other | NJ | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Sonora Ann Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366850141 PECOS PAC ID: 7517206808 Enrollment ID: I20190304002787 |
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