Organization
FAMILY THERAPY AND CONSULTATION SERVICES
Active
Organization
FAMILY THERAPY AND CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY KLINE GOLD LPC (PRESIDENT)
(856) 332-4698
Entity
Organization
Contact information
Practice address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 332-4698
(856) 415-7574
Mailing address
1 LUPTON AVE, WOODBURY, NJ 08096-5901
(856) 693-5775
(856) 415-7574
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0400067046
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046132
PROVIDER NUMBER
NJ
01
—
6P2422
MEDICARE
NJ
Enumeration date
01/12/2007
Last updated
06/21/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up