| Organization Name: | HEALTHMARK COUNSELING, LLC |
| NPI Number: | 1366766438 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL VINCENT PALMER (DIRECTOR) |
| Mailing Address: | 101 Route 130 S Madison Building, Suite 321 Cinnaminson |
| State: | NJ US |
| Postal Code: | 080772845 |
| Phone Number: | 8568293385 |
| Fax Number: | |
| NPI Enumeration Date: | 03/18/2010 |
| NPI Last Update Date: | 03/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 37PC00305000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |