Provider Demographics
NPI:1306056031
Name:NANCY C CRAFTS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:NANCY C CRAFTS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CRAFTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-465-7788
Mailing Address - Street 1:223 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2240
Mailing Address - Country:US
Mailing Address - Phone:609-465-7788
Mailing Address - Fax:609-465-2005
Practice Address - Street 1:223 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2240
Practice Address - Country:US
Practice Address - Phone:609-465-7788
Practice Address - Fax:609-465-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X, 101YM0800X, 101YA0400X
NJ44SC005214001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7784233OtherAETNA
NJ0975657000OtherAMERIHEALTH
NJ52227788 08210 A001OtherTRI CARE
NJ243616OtherMHN
NJ261525000OtherMAGELLAN
NJ159387OtherVALUE OPTIONS
NJ159387OtherVALUE OPTIONS
NJ52227788 08210 A001OtherTRI CARE