LEROY STANFORD JR.


Address: 2600 Mount Ephraim Ave, Suite 405, Camden, NJ 08104-3236
Phone: 8569637323

LEROY STANFORD JR. (NPI# 1013395052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013395052
Entity Type Individual
Full Name LEROY STANFORD JR.
Practice Address 2600 Mount Ephraim Ave
Suite 405
Camden
NJ 08104-3236
Practice Telephone 8569637323
Practice Fax Number 8569637324
Mailing Telephone 8569637323
Mailing Fax Number 8569637324
Enumeration Date 2015-05-11
Last Update Date 2015-05-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
37LC00215600 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 2600 MOUNT EPHRAIM AVE
SUITE 405
City CAMDEN
State NJ
Zip Code 08104-3236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003942004 Loving Care Agency, Inc. Home Health 2600 Mount Ephraim Ave, Suite 415, Camden, NJ 08104-3236 2007-02-26
1518335249 Way of The Spirit Counseling Services Inc Clinic/Center 2600 Mount Ephraim Ave, Suite 405, Camden, NJ 08104-3236 2015-09-11
1306236872 Secura Home Health LLC Home Health 2600 Mount Ephraim Ave, Camden, NJ 08104-3236 2015-02-04
1184851651 Camden City Independent Living Center Case Management 2600 Mount Ephraim Ave, Ste. 413, Camden, NJ 08104-3236 2009-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215559695 Rutgers, School of Nursing-camden Community Health Clinics Nurse Practitioner The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 2020-05-08
1891275467 Genesis Counseling Center, Inc Counselor 1000 Atlantic Avenue, 5th Floor, Camden, NJ 08104 2018-08-14
1881183994 Genesis Counseling Center, Inc Counselor 1000 Atlantic Ave., Camden, NJ 08104 2018-05-03
1508108895 Michelle D Goodman Counselor 3007 Kearsarge Rd, Camden, NJ 08104 2013-03-25
1952570426 Camcare Health Corporation Clinic/Center 8th and Carl Miller Blvd., Camden, NJ 08104 2008-02-28
1376760942 Restorative Programming, Inc Residential Treatment Facility, Emotionally Disturbed Children 1770 Mt. Ephraim Ave, Camden, NJ 08104 2007-04-18
1811000383 Doganieros of Camden, Inc. Pharmacist 1552 Mount Ephraim Ave, Camden, NJ 08104 2006-08-17
1407475445 Michael Christopher Romanko Student in an Organized Health Care Education/Training Program 1000 Atlantic Ave, Camden, NJ 08104 2020-04-09
1134618937 Genesis Counseling Center, Inc Counselor 1000 Atlantic Ave., Camden, NJ 08104 2018-05-07
1285044859 Nancy Florence Difrancesco Counselor 1000 Atlantic Ave, Camden, NJ 08104 2014-05-05
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427564574 Maria C. Berrios Counselor 116 N 2nd St Ste 102, Camden, NJ 08102-1601 2017-12-26
1508318353 Marvin Price Counselor 1040 Langham Ave, Camden, NJ 08103-2735 2016-10-27
1649667627 Paul Quijano Counselor 9 Trim St, Camden, ME 04843-1622 2015-04-17
1972996395 Emily Buchenhorst Counselor 594 Benson Street, Camden, NJ 08103 2015-03-10
1346642337 Genesis Counseling Center, Inc. Counselor 1000 Atlantic Ave Fl 5, Camden, NJ 08104-1132 2014-09-22
1265859979 Robert Preston Rogers Sr. Counselor 1535 Norris St, Camden, NJ 08104-1714 2014-03-20
1508108895 Michelle D Goodman Counselor 3007 Kearsarge Rd, Camden, NJ 08104 2013-03-25
1649475047 Sikora Center, Inc. Counselor 613 Clinton St # 615, Camden, NJ 08103-1415 2007-06-18
1215055876 Angela Mashel Rich Counselor 1269 California Sw, Camden, AR 71701 2007-03-26
1831232446 Jason Fox Counselor 270 Spring Dr, Camden, TN 38320-6855 2007-02-14
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Competitor

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City CAMDEN
Zip Code 08104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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