Healthcare Provider Details

I. General information

NPI: 1326812918
Provider Name (Legal Business Name): AVROHOM LIFSCHITZ LAC, LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PEMBERTON BROWNS MILLS RD
PEMBERTON NJ
08068-1537
US

IV. Provider business mailing address

24 APPLEY CT
CHERRY HILL NJ
08002-1854
US

V. Phone/Fax

Practice location:
  • Phone: 609-836-6114
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number37AC00668400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00668400
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37AC00668400
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37AC00668400
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00668400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: