Healthcare Provider Details

I. General information

NPI: 1821734146
Provider Name (Legal Business Name): ADVANCED FAMILY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1767 MORRIS AVE STE 301
UNION NJ
07083-3511
US

IV. Provider business mailing address

1767 MORRIS AVE STE 301
UNION NJ
07083-3511
US

V. Phone/Fax

Practice location:
  • Phone: 973-886-8450
  • Fax: 908-290-0456
Mailing address:
  • Phone: 973-886-8450
  • Fax: 908-290-0456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. KARIMA JACKSON
Title or Position: OWNER
Credential:
Phone: 973-886-8450