Provider Demographics
NPI:1700026382
Name:ADULTS & CHILDREN BEHAVIORAL COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:ADULTS & CHILDREN BEHAVIORAL COUNSELING CENTER LLC
Other - Org Name:ADULTS AND CHILDREN BEHAVIORL CNSLG CTR LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MITCHANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMOYAK
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:848-232-8040
Mailing Address - Street 1:PO BOX 1926
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-1071
Mailing Address - Country:US
Mailing Address - Phone:848-232-8040
Mailing Address - Fax:732-701-0419
Practice Address - Street 1:270 DRUM POINT RD UNIT 201
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-6376
Practice Address - Country:US
Practice Address - Phone:848-232-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty