Organization Name: | TRUCARE COUNSELING SERVICES LLC |
NPI Number: | 1245685080 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELE MANCUSO (OWNER/SOCIAL WORKER) |
Mailing Address: | 153 Grand Ave Apt 37 Atlantic Highlands |
State: | NJ US |
Postal Code: | 077161446 |
Phone Number: | 7328325411 |
Fax Number: | 8483002129 |
NPI Enumeration Date: | 04/29/2016 |
NPI Last Update Date: | 04/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05550000 |
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 |