Provider Demographics
NPI:1326824350
Name:AMENDOLA, LOUIS JOSEPH II (MED, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:JOSEPH
Last Name:AMENDOLA
Suffix:II
Gender:M
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 COLUMBUS AVENUE
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512
Mailing Address - Country:US
Mailing Address - Phone:973-261-4330
Mailing Address - Fax:
Practice Address - Street 1:54 BOATMANS ROAD
Practice Address - Street 2:SILVER BEACH
Practice Address - City:LAVALLETTE
Practice Address - State:NJ
Practice Address - Zip Code:08735
Practice Address - Country:US
Practice Address - Phone:973-261-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00795600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional