Provider Demographics
NPI:1982443438
Name:HEALING QUEST COUNSELING VILLAGES LLC
Entity type:Organization
Organization Name:HEALING QUEST COUNSELING VILLAGES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GUYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:856-264-7811
Mailing Address - Street 1:2744 MAIN RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLINVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08322-2006
Mailing Address - Country:US
Mailing Address - Phone:856-605-7332
Mailing Address - Fax:
Practice Address - Street 1:126 NEW JERSEY AVENUE
Practice Address - Street 2:
Practice Address - City:NEWFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08328
Practice Address - Country:US
Practice Address - Phone:856-605-7332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty