Holly Street Counseling
Counselor, Mental Health in Willingboro, New Jersey
1104494202- Practice location
- 142 Pheasant Ln, Willingboro, NJ 08046-2735
- Phone
- 717-805-4651
- Fax
- —
- Last updated
- June 15, 2021
Holly Street Counseling is a healthcare organization based in Willingboro, NJ. Holly Street Counseling practices in Willingboro, NJ. The NPI Number for Holly Street Counseling is 1104494202. The current practice location address for Holly Street Counseling is 142 Pheasant Ln, Willingboro, NJ 08046-2735 and can be reached out via phone at 717-805-4651.
Provider Profile Details
- NPI Number
- 1104494202
- Provider Name
- Holly Street Counseling
- Provider Entity Type
- Organization
- Address
- 142 Pheasant Ln, Willingboro, NJ 08046-2735
- Phone Number
- 717-805-4651
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Kresence Greenwood Campbell, LPC · Owner · 717-805-4651
- Other Names
- Kresence Greenwood- Campbell (Doing Business As)
- Provider Enumeration Date
- June 15, 2021
- Last Update Date
- June 15, 2021
- Certification Date
- June 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 142 Pheasant Ln
Willingboro, NJ 08046-2735 - City
- Willingboro
- State
- New Jersey
- Zip
- 08046-2735
- Phone Number
- 717-805-4651
Provider Business Mailing Address Details
- Address
- 142 Pheasant Ln
Willingboro, NJ 08046-2735 - City
- Willingboro
- State
- NJ
- Zip
- 08046-2735
- Phone Number
- 717-805-4651
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Holly Street Counseling?
The NPI number of Holly Street Counseling is 1104494202. It was assigned on June 15, 2021 and is currently active in the NPPES registry.
What is the specialty of Holly Street Counseling?
Holly Street Counseling is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Holly Street Counseling practice?
The practice location is 142 Pheasant Ln, Willingboro, NJ 08046-2735. The office can be reached at 717-805-4651 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104494202 directly on the NPPES registry website.