Provider Demographics
NPI:1871216291
Name:PEACEFUL CHANGE COUNSELING
Entity type:Organization
Organization Name:PEACEFUL CHANGE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TABETHA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:732-484-0632
Mailing Address - Street 1:20 ASHMALL AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-8701
Mailing Address - Country:US
Mailing Address - Phone:848-444-5424
Mailing Address - Fax:
Practice Address - Street 1:20 ASHMALL AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NJ
Practice Address - Zip Code:08831-8701
Practice Address - Country:US
Practice Address - Phone:848-444-5424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty