Amanda Revilak, LPC
Counselor, Professional in Jackson, New Jersey
1801511654- Practice location
- 4 Marc Alton CT, Jackson, NJ 08527-4338
- Phone
- 908-415-7636
- Fax
- —
- Last updated
- October 4, 2022
Amanda Revilak is a Counselor, Professional based in Jackson, NJ. Amanda Revilak practices in Jackson, NJ and has the professional credentials of LPC. The NPI Number for Amanda Revilak is 1801511654 and holds a License No. 37PC00433700 (NJ). The current practice location address for Amanda Revilak is 4 Marc Alton CT, Jackson, NJ 08527-4338 and can be reached out via phone at 908-415-7636.
Provider Profile Details
- NPI Number
- 1801511654
- Provider Name
- Amanda Revilak
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Marc Alton CT, Jackson, NJ 08527-4338
- Phone Number
- 908-415-7636
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Other Names
- Amanda Lowe (Former Name)
- Provider Enumeration Date
- October 4, 2022
- Last Update Date
- October 4, 2022
- Certification Date
- October 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Marc Alton CT
Jackson, NJ 08527-4338 - City
- Jackson
- State
- New Jersey
- Zip
- 08527-4338
- Phone Number
- 908-415-7636
Provider Business Mailing Address Details
- Address
- 4 Marc Alton CT
Jackson, NJ 08527-4338 - City
- Jackson
- State
- NJ
- Zip
- 08527-4338
License Information
- License Number
- 37PC00433700
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amanda Revilak, LPC?
The NPI number of Amanda Revilak, LPC is 1801511654. It was assigned on October 4, 2022 and is currently active in the NPPES registry.
What is the specialty of Amanda Revilak, LPC?
Amanda Revilak, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00433700.
Where does Amanda Revilak, LPC practice?
The practice location is 4 Marc Alton CT, Jackson, NJ 08527-4338. The office can be reached at 908-415-7636 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801511654 directly on the NPPES registry website.