Main Street Counseling Service
LBN: Main Street Counseling Service
Main Street Counseling Service is an health care organization with primary practice located at 8 Marcella Avenue , West Orange NJ 07052. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty.
Main Street Counseling Service can be contacted via phone (973) 736-2041, or through Duguid, Mary P via phone (973) 736-2041.
Contact Information
Primary practice address
8 Marcella Avenue
West Orange NJ 07052
Phone: (973) 736-2041
Fax: (973) 669-9683
Website:
Authorized official contact:
Name: Duguid, Mary P Licensed Clinical Social Worker (LCSW)
Phone: (973) 736-2041
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1578699070 |
|---|---|
| LBN Legal business name | Main Street Counseling Service |
| DBA Doing business as | |
| Authorized official | Duguid, Mary P Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Oct 30th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578699070 | NPPES |
| New Jersey | MEDICAID | 0045128 | |
| New Jersey | Other | A2721786 |
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