Provider Demographics
NPI:1588934004
Name:PREMIER COUNSELING CARE
Entity type:Organization
Organization Name:PREMIER COUNSELING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LABINOT
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:BERLAJOLLI
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:862-242-6778
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07653-9150
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:40 HASKELL AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:HASKELL
Practice Address - State:NJ
Practice Address - Zip Code:07420-1511
Practice Address - Country:US
Practice Address - Phone:862-242-6778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-02
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health