Organization
SUPPORTIVE SPACE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY A SCHOLZ (OWNER/CLINICAL DIRECTOR)
(609) 429-4451
Entity
Organization
Contact information
Practice address
1320 OUTLOOK DR, MOUNTAINSIDE, NJ 07092-1411
(609) 429-4451
Mailing address
PO BOX 2244, FLEMINGTON, NJ 08822-2244
(908) 313-9484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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