Provider Demographics
NPI:1588389381
Name:ANA PAIS LPC
Entity type:Organization
Organization Name:ANA PAIS LPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICSENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-292-8017
Mailing Address - Street 1:123 N UNION AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-2198
Mailing Address - Country:US
Mailing Address - Phone:908-292-8017
Mailing Address - Fax:
Practice Address - Street 1:123 N UNION AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-2173
Practice Address - Country:US
Practice Address - Phone:908-292-8017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-05
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty