Provider Demographics
NPI:1619450780
Name:FORDHAM-LEWIS CONSULTING, L.L.C.
Entity Type:Organization
Organization Name:FORDHAM-LEWIS CONSULTING, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:K
Authorized Official - Last Name:FORDHAM-LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-684-3841
Mailing Address - Street 1:11 TREE LINE DR
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-9288
Mailing Address - Country:US
Mailing Address - Phone:732-684-3841
Mailing Address - Fax:
Practice Address - Street 1:11 TREE LINE DR
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-9288
Practice Address - Country:US
Practice Address - Phone:732-684-3841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health