Organization Name: | TEAMUP COUNSELING, LLC |
NPI Number: | 1154741270 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VALERIE D. RAWLS (OWNER, EXECUTIVE DIRECTOR) |
Mailing Address: | 363 Columbia Ave Unit C Cliffside Park |
State: | NJ US |
Postal Code: | 070101903 |
Phone Number: | 7328874585 |
Fax Number: | 2014966426 |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 44SC05312600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |