Main Street Counseling Service in West Orange - Mental Health (including Community Mental Health Center)

Main Street Counseling Service - NPI 1578699070

Main Street Counseling Service is a Mental Health (including Community Mental Health Center) in West Orange, New Jersey. Main Street Counseling Service practices all healthcare services and medical treatments related to Mental Health (including Community Mental Health Center). The NPI Number for Main Street Counseling Service is 1578699070. The last update date is 2013-10-30.

Main Street Counseling Service's current location address is 8 Marcella Avenue, West Orange, New Jersey. You can contact this provider via phone number 9737362041 and fax number 9736699683. The mailing address for Main Street Counseling Service is 8 Marcella Avenue, West Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Organization Main Street Counseling Service
Address 8 Marcella Avenue, West Orange, New Jersey
Phone Number 9737362041
Fax Number 9736699683
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINICAL D
Authorized Official Name Duguid P Mary
Credentials LCSW
Telephone Number 9737362041

NPI Number Detail

NPI Number 1578699070
Provider Enumeration Date 2007-02-26
Last Updated Date 2013-10-30

Provider Mailing Address Detail

Address 8 Marcella Avenue
City West Orange
State New Jersey (NJ)
Post Code 7052
Phone Number 9737362041
Fax Number 9736699683

Provider's Primary Taxonomy Detail

Speciality Mental Health (including Community Mental Health Center)
Taxonomy 261Qm0801X
Definition:
Assesses and treats psychiatric issues, mental illnesses, and substance abuse disorders through counseling, therapy, and medication management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45128 NJ --
A2721786 NJ OXFORD

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FAQs about Main Street Counseling Service

What is the unique 10-digit identifier code issued to Main Street Counseling Service by the Centers for Medicare & Medicaid Services?

The Main Street Counseling Service has been assigned the NPI (National Provider Identifier) 1578699070 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Main Street Counseling Service?

The Main Street Counseling Service is situated at 8 Marcella Avenue, in the city of West Orange, state of NJ, with the zip code 7052.

What is Main Street Counseling Service's area of expertise and its corresponding taxonomy classification?

The Main Street Counseling Service's field of specialization is Mental Health (including Community Mental Health Center), and it falls under the taxonomy code 261Qm0801X, which categorizes healthcare providers based on their areas of practice.

On what date did the Main Street Counseling Service receive its 1578699070 assignment from the Centers for Medicare & Medicaid Services?

The Main Street Counseling Service was assigned its 1578699070 by the Centers for Medicare & Medicaid Services on 2007-02-26.

As of what date was the information regarding Main Street Counseling Service, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Main Street Counseling Service, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-10-30.

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