| Power Counseling And Treatment Services, Llc | |
|
1071 E Landis Ave Ste 3 Vineland NJ 08360-4060 | |
| (202) 813-0454 | |
| (202) 813-0454 |
| Full Name | Power Counseling And Treatment Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1071 E Landis Ave Ste 3, Vineland, New Jersey |
| Authorized Official Name and Position | Azubike Innocent Aliche (DIRECTOR) |
| Authorized Official Contact | 2028130454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Power Counseling And Treatment Services, Llc 6828 Walkway Ct Ste B Bryans Road MD 20616-6106 Ph: (202) 813-0454 | Power Counseling And Treatment Services, Llc 1071 E Landis Ave Ste 3 Vineland NJ 08360-4060 Ph: (202) 813-0454 |
| NPI Number | 1255699013 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 05/08/2024 |
| Certification Date | 05/08/2024 |
| Medicare PECOS PAC ID | 1153587696 |
|---|---|
| Medicare Enrollment ID | O20120727000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255699013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Azubike Aliche |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649540675 PECOS PAC ID: 2062678501 Enrollment ID: I20120727000069 |
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