MEDICARE: ADAMCZYKS COUPLE AND FAMILY COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0850X	Adult Mental Health Clinic/Center
3	3245S0500X	Children's Substance Abuse Rehabilitation Facility
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number	:	1912562224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAMCZYKS COUPLE AND FAMILY COUNSELING

Provider Business Mailing Address
First Line	:	33 RIVERWALK BLVD
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-1066
Country	:	US
Telephone Number	:	201-694-9536
Fax Number	:	609-543-6006

Provider Business Practice Location Address
First Line	:	33 RIVERWALK BLVD
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-1066
Country	:	US
Telephone Number	:	201-694-9536
Fax Number	:	609-543-6006

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. DEBRA D ADAMCZYK
Credential	:	LMFT
Telephone Number	:	201-694-9536

Provider Enumeration Date	:	05/02/2019
Last Update Date	:	04/03/2024

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