| Embracing Life Changes Thru Counseling, Llc | |
|
6 2nd St Aberdeen NJ 07747-2312 | |
| (732) 744-4406 | |
| (732) 307-8036 |
| Full Name | Embracing Life Changes Thru Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 6 2nd St, Aberdeen, New Jersey |
| Authorized Official Name and Position | Pennie L. Colleton (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 7327444406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embracing Life Changes Thru Counseling, Llc 6 2nd St Aberdeen NJ 07747-2312 Ph: (732) 744-4406 | Embracing Life Changes Thru Counseling, Llc 6 2nd St Aberdeen NJ 07747-2312 Ph: (732) 744-4406 |
| NPI Number | 1093549099 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 01/08/2025 |
| Certification Date | 01/08/2025 |
| Medicare PECOS PAC ID | 5496289514 |
|---|---|
| Medicare Enrollment ID | O20241112004474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093549099 | NPI | - | NPPES |
| 1054163 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Pennie L. Colleton |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164935912 PECOS PAC ID: 9931633054 Enrollment ID: I20241112004533 |
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