Adult Family Health Services LLC
Organization Active NPI Mental Health Counselor · Clifton, NJ
NPI 1043786254 · NPPES record last updated Dec 24, 2020
Key facts
- NPI
- 1043786254
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- ADULT FAMILY HEALTH SERVICES LLC
- Practice address
- 53 Orchard St
Clifton, NJ 07013-1832 - Phone
- (973) 773-7600
- Fax
- (973) 773-7011
- NPI assigned
- Oct 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Viktoriya Fine
- Title
- Ceo
- Phone
- (973) 773-7600
Corporate family (same tax ID) 3
Practitioners 13
-
Ariel G Almacen, APNC
-
Mark A Bacco, MA, LPC, LCADC
-
Julie Pamela Bravo, LSW, CADC
-
Angela Graceffo, LCSW
-
Chrysa Lawson, LSW
-
Kathleen McKenna, MS, LPC
-
John Edward Wagner, LSW
-
Robert A Wisse, LSW
National Provider Directory
- Tax ID family
- Adult Family Health Services LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
53 Orchard St
Clifton, NJ 07013-1832
Mailing address
53 Orchard St
Clifton, NJ 07013-1832
Phone (973) 773-7600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0656747 | Medicaid | NJ | |
| 0389293 | Medicaid | NJ |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.