National Provider Identifier Database

PARK BENCH GROUP COUNSELING LLC
Rehabilitation Hospital

A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.


Contact Information

PARK BENCH GROUP COUNSELING, LLC
421 BETHEL RD
SOMERS POINT, NJ08244-2081
Phone: 609-365-2601
Fax: 609-365-2519
Website:
Specialty Taxonomy Code
* Rehabilitation Hospital 283X00000X

* Indicates primary specialty

NPI Profile & details for PARK BENCH GROUP COUNSELING, LLC

NPI Number 1487776738
Legal business name
LBN
PARK BENCH GROUP COUNSELING, LLC
Authorized official RANDI MASSEY-ALVARADO - (CO-OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/06/2007
Last updated 05/27/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 200023007

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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