Provider Demographics
NPI:1912562224
Name:ADAMCZYKS COUPLE AND FAMILY COUNSELING
Entity Type:Organization
Organization Name:ADAMCZYKS COUPLE AND FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ADAMCZYK
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:201-694-9536
Mailing Address - Street 1:33 RIVERWALK BLVD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-1066
Mailing Address - Country:US
Mailing Address - Phone:201-694-9536
Mailing Address - Fax:609-543-6006
Practice Address - Street 1:33 RIVERWALK BLVD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-1066
Practice Address - Country:US
Practice Address - Phone:201-694-9536
Practice Address - Fax:609-543-6006
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FAMILYWITHCHILDRENFIRST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-02
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children