1427283258 NPI number — NAMAN COUNSELING SERVICES, LLC

Table of content: (NPI 1427283258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427283258 NPI number — NAMAN COUNSELING SERVICES, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NAMAN COUNSELING SERVICES, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427283258
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
328 HILLTOP RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOMS RIVER
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08753-4270
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-966-4477
Provider Business Mailing Address Fax Number:
732-279-3429

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1130 HOOPER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOMS RIVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08753-8345
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-966-4477
Provider Business Practice Location Address Fax Number:
732-279-3429
Provider Enumeration Date:
05/22/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
NAMAN
Authorized Official First Name:
VALERIE
Authorized Official Middle Name:
C
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
732-966-4477

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)