Provider Demographics
NPI:1851281364
Name:JERNE COUNSELING LLC
Entity type:Organization
Organization Name:JERNE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUZIL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:617-816-9862
Mailing Address - Street 1:108 WEST ST APT A1
Mailing Address - Street 2:
Mailing Address - City:ROCKY HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06067-3526
Mailing Address - Country:US
Mailing Address - Phone:617-816-9862
Mailing Address - Fax:
Practice Address - Street 1:108 WEST ST APT A1
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3526
Practice Address - Country:US
Practice Address - Phone:617-816-9862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health