Organization
CREATING CHANGE COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA CORREA LCSW (CEO/CLINICIAN)
(973) 703-4642
Entity
Organization
Contact information
Practice address
181 HOWARD BLVD STE J, MOUNT ARLINGTON, NJ 07856-2314
(973) 703-4642
(973) 810-3010
Mailing address
68 MCGREGOR AVE, MOUNT ARLINGTON, NJ 07856-1007
(973) 703-4642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
04/29/2025
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