Provider Demographics
NPI:1679997126
Name:MORRIS COUNTY COUNSELING CENTER
Entity type:Organization
Organization Name:MORRIS COUNTY COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:908-419-5712
Mailing Address - Street 1:95 W 13TH ST
Mailing Address - Street 2:1 FLOOR
Mailing Address - City:BAYONE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002
Mailing Address - Country:US
Mailing Address - Phone:908-419-5712
Mailing Address - Fax:
Practice Address - Street 1:147 COLUMBIA TURNPIKE
Practice Address - Street 2:SUITE 307
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:908-419-5712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-04
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00350300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty