Organization Name: | PREMIER COUNSELING SERVICES |
NPI Number: | 1063842235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL C MOLLOY (OWNER) |
Mailing Address: | 87 Miller St Suite #1 Wallington |
State: | NJ US |
Postal Code: | 070572209 |
Phone Number: | 2019335766 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2013 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04746300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |