Provider Demographics
NPI:1750417838
Name:ADULTS& CHILDREN BEHAVIORAL COUNSELING
Entity type:Organization
Organization Name:ADULTS& CHILDREN BEHAVIORAL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELHAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-701-0440
Mailing Address - Street 1:PO BOX 1926
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3265
Mailing Address - Country:US
Mailing Address - Phone:732-701-0440
Mailing Address - Fax:732-701-0419
Practice Address - Street 1:2095 ROUTE 88
Practice Address - Street 2:SUITE 3
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3265
Practice Address - Country:US
Practice Address - Phone:732-701-0440
Practice Address - Fax:732-701-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008454000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1972570216OtherEILEEN DELHAGEN NPI
NJ1932176963OtherCAROLYN SCHLOBALM NPI
NJ1093826943OtherKIMBERLY HIGGINS NPI
NJ1740258193OtherJASON ANDREACH NPI