Provider Demographics
NPI:1386192680
Name:FAMILY VALUES COUNSELING LLC
Entity type:Organization
Organization Name:FAMILY VALUES COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUES-COSTEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT LPC
Authorized Official - Phone:973-202-6580
Mailing Address - Street 1:40 N VAN BRUNT ST
Mailing Address - Street 2:SUITE 21
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:78 MERILINE AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-3095
Practice Address - Country:US
Practice Address - Phone:973-202-6580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00173200251S00000X
NJ37PC00341200251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health