NPI 1316532575 · live from the CMS NPI Registry
A.C. Angelwings Counseling LLC
Social Worker, Clinical in Egg Harbor Twp, NJ. National Provider Identifier 1316532575, active.
NPI record
| NPI | 1316532575 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 209 Ontario Ave, Egg Harbor Twp, NJ 08234 |
| Practice phone | 609-513-1140 |
| Enumerated | March 9, 2021 |
| Last updated | March 9, 2021 |
| Authorized official | Kidonia Mavromatis, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.