Provider Demographics
NPI:1689189037
Name:ANTAR, ADINA BETH (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:ADINA
Middle Name:BETH
Last Name:ANTAR
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 POLBOS PKWY
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-1131
Mailing Address - Country:US
Mailing Address - Phone:646-272-8369
Mailing Address - Fax:
Practice Address - Street 1:2027 POLBOS PKWY
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-1131
Practice Address - Country:US
Practice Address - Phone:646-272-8369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health