Healthcare Provider Details

I. General information

NPI: 1063080075
Provider Name (Legal Business Name): KINGA LEWINSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 12/06/2021
Certification Date: 12/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1387 CHEWS LANDING RD
LAUREL SPRINGS NJ
08021-2760
US

IV. Provider business mailing address

294 HAYWARD PL
WALLINGTON NJ
07057-1337
US

V. Phone/Fax

Practice location:
  • Phone: 856-454-3104
  • Fax:
Mailing address:
  • Phone: 201-421-8071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00766200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: