Provider Demographics
NPI:1346717121
Name:NJ PROFESSIONAL COUNSELING GROUP, LLC
Entity type:Organization
Organization Name:NJ PROFESSIONAL COUNSELING GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED OP THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-671-2233
Mailing Address - Street 1:3288 DELSEA DR STE A
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-3165
Mailing Address - Country:US
Mailing Address - Phone:856-671-2233
Mailing Address - Fax:
Practice Address - Street 1:3288 DELSEA DR STE A
Practice Address - Street 2:
Practice Address - City:FRANKLINVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08322-3165
Practice Address - Country:US
Practice Address - Phone:856-671-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty