BACK ON TRACK COUNSELING LLC
NPI 1194379255
Counselor - Professional in Irvington, NJ
- Organization
- Counselor
- Professional
About BACK ON TRACK COUNSELING LLC
This page provides the complete NPI Profile along with additional information for Back On Track Counseling Llc, a provider established in Irvington, New Jersey operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1194379255 assigned on July 2019. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mr. Mustafa Shakir Abdus-salaam Mhs-c,lpc, Lcadc (Ceo)
- NPI
- 1194379255 Verify this NPI
- Provider Name
- BACK ON TRACK COUNSELING LLC
- Entity Type
- Organization
- Location Address
- 19 ORANGE PL IRVINGTON, NJ 07111
- Location Phone
- (973) 474-8441
- Mailing Address
- 19 ORANGE PL IRVINGTON, NJ 07111
- Mailing Phone
- (973) 474-8441
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2019
- Last Update Date
- 07-27-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 251B00000X | Agencies | Case Management | |
| 3 | 251S00000X | Agencies | Community/Behavioral Health | |
| 4 | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | |
| 5 | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
IRVINGTON, NJ 07111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194379255, enumerated as an "organization" on July 27, 2019.
The provider is located at 19 ORANGE PL IRVINGTON, NJ 07111 and the phone number is (973) 474-8441.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
