Provider Demographics
NPI:1962550210
Name:MERIDIAN COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:MERIDIAN COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:856-751-0505
Mailing Address - Street 1:1930 MARLTON PIKE E STE V105
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-4101
Mailing Address - Country:US
Mailing Address - Phone:856-751-0505
Mailing Address - Fax:856-751-0505
Practice Address - Street 1:1930 MARLTON PIKE EAST
Practice Address - Street 2:SUITE M 68
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08077-4202
Practice Address - Country:US
Practice Address - Phone:856-751-0505
Practice Address - Fax:856-751-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty