| Premier Counseling & Consulting Group, Llc | |
|
302 Rivendell Way Edison NJ 08817-2008 | |
| (732) 579-3477 | |
| Not Available |
| Full Name | Premier Counseling & Consulting Group, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 302 Rivendell Way, Edison, New Jersey |
| Authorized Official Name and Position | Hasan Johnson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7325793477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Counseling & Consulting Group, Llc 302 Rivendell Way Edison NJ 08817-2008 Ph: (732) 579-3477 | Premier Counseling & Consulting Group, Llc 302 Rivendell Way Edison NJ 08817-2008 Ph: (732) 579-3477 |
| NPI Number | 1144435561 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144435561 | NPI | - | NPPES |
| 0048810 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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