| Bb Counseling Llc | |
|
119 Maple Ave Red Bank NJ 07701-1715 | |
| (732) 856-0671 | |
| (732) 876-9198 |
| Full Name | Bb Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 119 Maple Ave, Red Bank, New Jersey |
| Authorized Official Name and Position | Brian L Burgess (OWNER) |
| Authorized Official Contact | 7325393023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bb Counseling Llc 25 Windingbrook Way Holmdel NJ 07733-2332 Ph: (732) 539-3023 | Bb Counseling Llc 119 Maple Ave Red Bank NJ 07701-1715 Ph: (732) 856-0671 |
| NPI Number | 1821245739 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 03/05/2020 |
| Certification Date | 03/05/2020 |
| Medicare PECOS PAC ID | 4688002934 |
|---|---|
| Medicare Enrollment ID | O20200319001594 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821245739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 35S100440800 (New Jersey) | Primary |
| Provider Name | Brian Burgess |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255462008 PECOS PAC ID: 7618029463 Enrollment ID: I20090709000224 |
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