| Visiting Counselor Llc | |
|
138 7th St Hazlet Twp NJ 07734-2969 | |
| (908) 419-2044 | |
| Not Available |
| Full Name | Visiting Counselor Llc |
|---|---|
| Speciality | Social Worker |
| Location | 138 7th St, Hazlet Twp, New Jersey |
| Authorized Official Name and Position | Antoniette Richburg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9084192044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Counselor Llc 138 7th St Hazlet Twp NJ 07734-2969 Ph: () - | Visiting Counselor Llc 138 7th St Hazlet Twp NJ 07734-2969 Ph: (908) 419-2044 |
| NPI Number | 1508340811 |
|---|---|
| Provider Enumeration Date | 09/21/2018 |
| Last Update Date | 09/21/2018 |
| Medicare PECOS PAC ID | 4688918535 |
|---|---|
| Medicare Enrollment ID | O20181203003061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508340811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Antoniette E Richburg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124522412 PECOS PAC ID: 1456614544 Enrollment ID: I20180425000796 |
Md Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 8th St, Hazlet Twp, NJ 07734 Phone: 732-687-3591 |