Provider Demographics
NPI:1487808218
Name:A TIME FOR CHANGE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:A TIME FOR CHANGE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-545-2200
Mailing Address - Street 1:22 INDIAN SPRING DR.
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07438
Mailing Address - Country:US
Mailing Address - Phone:973-545-2200
Mailing Address - Fax:973-409-4896
Practice Address - Street 1:22 INDIAN SPRING DR.
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07438
Practice Address - Country:US
Practice Address - Phone:973-545-2200
Practice Address - Fax:973-409-4896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00368800251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health