Provider Demographics
NPI:1659823623
Name:AIKENS, EUGENEIA (MSW)
Entity Type:Individual
Prefix:
First Name:EUGENEIA
Middle Name:
Last Name:AIKENS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:EUGENEIA
Other - Middle Name:
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 GUNNER LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-3325
Mailing Address - Country:US
Mailing Address - Phone:609-412-7288
Mailing Address - Fax:
Practice Address - Street 1:13 GUNNER LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-3325
Practice Address - Country:US
Practice Address - Phone:609-412-7288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health