Provider Demographics
NPI:1811356611
Name:A.J.B. COUNSELING & PSYCHOTHERAPY
Entity type:Organization
Organization Name:A.J.B. COUNSELING & PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:JAKUB
Authorized Official - Last Name:BIEC
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:347-460-6570
Mailing Address - Street 1:1250 BROADWAY FL 36
Mailing Address - Street 2:SUITE 3615
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3709
Mailing Address - Country:US
Mailing Address - Phone:347-460-6570
Mailing Address - Fax:
Practice Address - Street 1:1250 BROADWAY FL 36
Practice Address - Street 2:SUITE 3615
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3709
Practice Address - Country:US
Practice Address - Phone:347-460-6570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006534101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty