Provider Demographics
NPI:1306133798
Name:MONROE COUNSELING CENTER LLC
Entity type:Organization
Organization Name:MONROE COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMORGESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-928-5331
Mailing Address - Street 1:342 MONROE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4166
Mailing Address - Country:US
Mailing Address - Phone:973-928-5331
Mailing Address - Fax:973-928-5330
Practice Address - Street 1:342 MONROE ST FL 2
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4166
Practice Address - Country:US
Practice Address - Phone:973-928-5331
Practice Address - Fax:973-928-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2000509101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty