Provider Demographics
| NPI: | 1790275154 |
|---|---|
| Name: | BNS COUNSELING LLC |
| Entity type: | Organization |
| Organization Name: | BNS COUNSELING LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | BRIANNE |
| Authorized Official - Middle Name: | NISSEN |
| Authorized Official - Last Name: | SHAPPELL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MSW, LCSW |
| Authorized Official - Phone: | 201-362-7075 |
| Mailing Address - Street 1: | 114 S 2ND ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PHILLIPSBURG |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08865-1806 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 201-362-7075 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 114 S 2ND ST |
| Practice Address - Street 2: | |
| Practice Address - City: | PHILLIPSBURG |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08865-1806 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 201-362-7075 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2018-05-11 |
| Last Update Date: | 2018-05-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | 44SC05412500 | 1041C0700X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |