| Great Joy Counseling And Consulting Services Llc | |
|
800 Raritan Rd # 2 Clark NJ 07066-1710 | |
| (908) 576-5544 | |
| Not Available |
| Full Name | Great Joy Counseling And Consulting Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 800 Raritan Rd # 2, Clark, New Jersey |
| Authorized Official Name and Position | La'tesha Sampson (PRESIDENT) |
| Authorized Official Contact | 9085765544 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Joy Counseling And Consulting Services Llc Po Box 1876 Linden NJ 07036-0008 Ph: (908) 615-4928 | Great Joy Counseling And Consulting Services Llc 800 Raritan Rd # 2 Clark NJ 07066-1710 Ph: (908) 576-5544 |
| NPI Number | 1134664709 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 10/28/2024 |
| Certification Date | 10/28/2024 |
| Medicare PECOS PAC ID | 8325433477 |
|---|---|
| Medicare Enrollment ID | O20220328001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134664709 | NPI | - | NPPES |
| P5297687 | Other | NJ | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05608300 (New Jersey) | Primary |
| Provider Name | La'tesha E Sampson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730576398 PECOS PAC ID: 0244578367 Enrollment ID: I20190215001261 |
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