Whalio Doctors

NPI 1184862443

Timothy Faith Services, LLC

Organisation Professional Counselor Glassboro, NJ

Practice location

Address
101 Stoneham Dr, Glassboro, NJ 08028-3001
Phone
(609) 970-4680

Authorised official

Name
Pamela Mae Nielsen
Title
Director
Phone
(609) 970-4680

Registered specialties (4)

Professional Counselor Primary
Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 37PC00250000 (NJ)
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X Licence 37PC00250000 (NJ)
Exclusive Provider Organization
Managed Care Organizations Taxonomy 302F00000X Licence 37PC00250000 (NJ)
Preferred Provider Organization
Managed Care Organizations Taxonomy 305R00000X Licence 37PC00250000 (NJ)

Registry record

NPI
1184862443
Entity type
Organization
NPI issued
25 Jan 2009
Record last updated
25 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.