Provider Demographics
NPI:1548655582
Name:NEXT STEP COUNSELING
Entity type:Organization
Organization Name:NEXT STEP COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ALCOHOL AND DRUG COUNSELOT
Authorized Official - Prefix:
Authorized Official - First Name:MARCELLUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC, LAC
Authorized Official - Phone:973-220-2962
Mailing Address - Street 1:104 MANSFIELD VLG
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-3601
Mailing Address - Country:US
Mailing Address - Phone:973-220-2962
Mailing Address - Fax:
Practice Address - Street 1:104 MANSFIELD VLG
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-3601
Practice Address - Country:US
Practice Address - Phone:973-220-2962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00206800302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization