Basic Information
Provider Information
NPI: 1548793102
EntityType: 2
ReplacementNPI:  
OrganizationName: ASPIRE TO ACHIEVE COUNSELING SERVICES, LLC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 215 HIGHLAND AVE STE C
Address2:  
City: HADDON TOWNSHIP
State: NJ
PostalCode: 081082634
CountryCode: US
TelephoneNumber: 8562540828
FaxNumber: 8568540992
Practice Location
Address1: 215 HIGHLAND AVE STE C
Address2:  
City: HADDON TOWNSHIP
State: NJ
PostalCode: 081082634
CountryCode: US
TelephoneNumber: 8562540828
FaxNumber: 8562540828
Other Information
ProviderEnumerationDate: 04/10/2017
LastUpdateDate: 03/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: BRITT-MEADOWS
AuthorizedOfficialFirstName: JANICE
AuthorizedOfficialMiddleName: S
AuthorizedOfficialTitleorPosition: EXEC. DIR./OWNER/SOLE MEMBER
AuthorizedOfficialTelephone: 8562540828
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MSW, LCSW
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
305S00000X44SC0445536200NJN Managed Care OrganizationsPoint of Service 
251S00000X44SC0445536200NJY AgenciesCommunity/Behavioral Health 

ID Information
IDTypeStateIssuerDescription
424681ZHYF01NJ82551 ENROLLMENT TYPEOTHER


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