Provider Demographics
NPI:1225825250
Name:ATOMIC COUNSELING
Entity type:Organization
Organization Name:ATOMIC COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BASS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:609-414-0519
Mailing Address - Street 1:PO BOX 631
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-0631
Mailing Address - Country:US
Mailing Address - Phone:609-414-0519
Mailing Address - Fax:
Practice Address - Street 1:1405 VETERANS HWY APT A2
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-2303
Practice Address - Country:US
Practice Address - Phone:609-414-0519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health