SUPERNOVA COUNSELING LLC
NPI 1396546792
Counselor - Professional in Montclair, NJ
- Organization
- Counselor
- Professional
About SUPERNOVA COUNSELING LLC
This page provides the complete NPI Profile along with additional information for Supernova Counseling Llc, a provider established in Montclair, New Jersey operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1396546792 assigned on March 2025. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. Supernova Counseling Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jodi Thomas Md (Owner)
- NPI
- 1396546792 Verify this NPI
- Provider Name
- SUPERNOVA COUNSELING LLC
- Entity Type
- Organization
- Location Address
- 41 WATCHUNG PLZ STE 155 MONTCLAIR, NJ 07042
- Location Phone
- (786) 475-5468
- Mailing Address
- 41 WATCHUNG PLZ STE 155 MONTCLAIR, NJ 07042
- Mailing Phone
- (786) 475-5468
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2025
- Last Update Date
- 03-21-2025
- 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
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396546792, enumerated as an "organization" on March 21, 2025.
The provider is located at 41 WATCHUNG PLZ STE 155 MONTCLAIR, NJ 07042 and the phone number is (786) 475-5468.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
