Provider Demographics
NPI:1215348024
Name:COUNSELING FOR TOTAL WELL-BEING, LLC
Entity type:Organization
Organization Name:COUNSELING FOR TOTAL WELL-BEING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFAT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:732-598-6781
Mailing Address - Street 1:48 STONY HILL DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1179
Mailing Address - Country:US
Mailing Address - Phone:732-598-6781
Mailing Address - Fax:732-879-0241
Practice Address - Street 1:705 GINESI DR
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1235
Practice Address - Country:US
Practice Address - Phone:732-598-6781
Practice Address - Fax:732-879-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00455800101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty