CONCORD COUNSELING SERVICES LLC (NPI# 1336634021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336634021 |
Entity Type | Organization |
Organization Name | CONCORD COUNSELING SERVICES LLC |
Other Organization Name | CONCORD COUNSELING SERVICES LLC |
Practice Address |
816 W Route 130 Burlington NJ 08016-1267 |
Practice Telephone | 6096682795 |
Mailing Telephone | 6096682795 |
Enumeration Date | 2018-06-26 |
Last Update Date | 2018-06-26 |
Authorized Official Name | SCOTT LONG (MANAGER) |
Authorized Official Telephone | 6093515088 |
Authorized Official Credential | LSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
Concord Counseling Services LLC | Doing Business As Name - Organization |
Street Address |
816 W ROUTE 130 |
City | BURLINGTON |
State | NJ |
Zip Code | 08016-1267 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619461662 | Scott Alexander Long | Social Worker | 816 W Route 130, Burlington, NJ 08016-1267 | 2018-06-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306487780 | Neighbours-inc | Community/Behavioral Health | 409 Domininque Court, Burlinton, NJ 08016 | 2019-10-07 |
1881163368 | Stacie Lynn Wible | Speech-Language Pathologist | 34 Mohawk Trail, Burlington, NJ 08016 | 2018-11-14 |
1619495520 | Oaks Integrated Care | Clinic/Center | 2000 Burlington Bypass, Burlington, NJ 08016 | 2017-08-31 |
1700312113 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Mohr Rd, Burlington, NJ 08016 | 2017-05-04 |
1013443431 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16 Lardner Rd, Burlington, NJ 08016 | 2017-05-04 |
1174976955 | Dungarvin New Jersey, LLC-yubas | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 22 Yubas Ave, Burlington, NJ 08016 | 2016-07-18 |
1477946937 | Sina Durham | Counselor | 1 Beechwood Lane, Burlington, NJ 08016 | 2015-03-09 |
1336568138 | Olayinka I Akeju | Counselor | 129 Riverwalk Blvd, Burlington Township, NJ 08016 | 2014-04-09 |
1477980316 | Tia Jones | Counselor | 2000 Burlington By-pass, Burlington, NJ 08016 | 2013-10-10 |
1407282304 | Ashley Taylor Phillips | Pharmacist | 2 West Route 130 South, Burlington, NJ 08016 | 2013-09-24 |
Find all providers in zip 08016 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950984 | Keith Edward Smith | Counselor | 288 Flynn Ave Apt 26, Burlington, VT 05401-5370 | 2020-07-29 |
1528677325 | Gavin B Chadwell | Counselor | 337 College St Ste G, Burlington, VT 05401-8344 | 2020-07-28 |
1407473549 | Christine Borzumato-gainey | Counselor | 3643 Liberty Dr, Burlington, NC 27215-9387 | 2020-07-05 |
1669096434 | Callie Douglass | Counselor | 337 College St, Burlington, VT 05401-8344 | 2020-06-08 |
1144870742 | Amy Cronin | Counselor | 20 Oak St Apt 2, Burlington, VT 05401-2828 | 2019-09-16 |
1760948251 | Path Integrated Healthcare | Counselor | 125 College St Ste 300, Burlington, VT 05401-8444 | 2019-02-20 |
1255800082 | William Hayes Davenport | Counselor | 269 Pearl St Ste 4, Burlington, VT 05401-8536 | 2018-11-22 |
1821574443 | Dana Rochelle Hays | Counselor | 6272 Woodcrest Dr, Burlington, KY 41005-8444 | 2018-07-17 |
1265937650 | Jennifer L Kerns | Counselor | 269 Pearl St Ste 3, Burlington, VT 05401-8536 | 2018-03-27 |
1205335130 | Lynn Ruth Martin | Counselor | 130 Mansfield Ave Apt 201, Burlington, VT 05401-3396 | 2018-02-06 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 08016 |
Please comment or provide details below to improve the information on CONCORD COUNSELING SERVICES LLC.
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.