Provider Demographics
NPI:1710005319
Name:LEEUWENBURGH, ERIKA ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:LEEUWENBURGH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 FRANKLIN TPKE
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1755
Mailing Address - Country:US
Mailing Address - Phone:201-251-4242
Mailing Address - Fax:
Practice Address - Street 1:36 FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1755
Practice Address - Country:US
Practice Address - Phone:201-286-9214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00164800101YP2500X
NJ37LC00155700101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)