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Organization
LORI PHELAN, LCSW LLC
Active
Organization
LORI PHELAN, LCSW LLC
Active
Other names
North Jersey Axis mental health group, Comprehensive Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI PHELAN LCSW (PSYCHOTHERAPIST)
(201) 320-6334
Entity
Organization
Contact information
Practice address
287 BOULEVARD, POMPTON PLAINS, NJ 07444-1726
(201) 320-6334
Mailing address
10 SHADY TER, WAYNE, NJ 07470-4320
(201) 320-6334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588078323
COMMERCIAL
NJ
Enumeration date
06/22/2022
Last updated
09/10/2026
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