Provider Demographics
NPI:1225504863
Name:ADAMCZYK, DEBRA DENISE (LMFT)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:DENISE
Last Name:ADAMCZYK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8924 NW 145TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33018-7336
Mailing Address - Country:US
Mailing Address - Phone:201-694-9536
Mailing Address - Fax:
Practice Address - Street 1:33 RIVERWALK BLVD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1066
Practice Address - Country:US
Practice Address - Phone:201-694-9536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-22
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00182700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist