Provider Demographics
NPI:1912750068
Name:FOCUS ON THE FAMILY COUNSELING AND ADVOCACY SERVICES LLC
Entity Type:Organization
Organization Name:FOCUS ON THE FAMILY COUNSELING AND ADVOCACY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEONEL
Authorized Official - Middle Name:LEVI
Authorized Official - Last Name:MATOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-824-2420
Mailing Address - Street 1:29 STIMA AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-1214
Mailing Address - Country:US
Mailing Address - Phone:732-824-2420
Mailing Address - Fax:
Practice Address - Street 1:111 WASHINGTON AVE # 209
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-3067
Practice Address - Country:US
Practice Address - Phone:732-824-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty