Organization
COUNSELING SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHARKA SANKARA (MANAGING MEMBER)
(732) 337-8323
Entity
Organization
Contact information
Practice address
97 APPLE ST, TINTON FALLS, NJ 07724-2637
(732) 337-8323
Mailing address
36 SHREWSBURY DR, LONG BRANCH, NJ 07740-7619
(732) 337-8323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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