Provider Demographics
NPI:1174974067
Name:CARING CONNECTIONS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:CARING CONNECTIONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER, LEAD THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TANOA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BETTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:609-992-5712
Mailing Address - Street 1:603 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2231
Mailing Address - Country:US
Mailing Address - Phone:609-992-5712
Mailing Address - Fax:609-625-7585
Practice Address - Street 1:222 NEW RD STE 801
Practice Address - Street 2:
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1287
Practice Address - Country:US
Practice Address - Phone:609-992-5712
Practice Address - Fax:609-625-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05572000251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health