| Falcon Counseling Services, Llc | |
|
500 Crozier Ave National Park NJ 08063-1512 | |
| (856) 693-4192 | |
| Not Available |
| Full Name | Falcon Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 500 Crozier Ave, National Park, New Jersey |
| Authorized Official Name and Position | Susannah Mallon (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8566934192 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Falcon Counseling Services, Llc 500 Crozier Ave National Park NJ 08063-1512 Ph: (856) 693-4192 | Falcon Counseling Services, Llc 500 Crozier Ave National Park NJ 08063-1512 Ph: (856) 693-4192 |
| NPI Number | 1578003075 |
|---|---|
| Provider Enumeration Date | 03/02/2017 |
| Last Update Date | 03/02/2017 |
| Medicare PECOS PAC ID | 4880970037 |
|---|---|
| Medicare Enrollment ID | O20170424002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578003075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05627200 (New Jersey) | Primary |
| Provider Name | Susannah Mallon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609324334 PECOS PAC ID: 4789960931 Enrollment ID: I20170424002027 |
Heat Holistic Lifestyle Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1109 Simpson Ave, National Park, NJ 08063 Phone: 856-870-9501 Fax: 856-579-4379 |