Provider Demographics
NPI:1861743361
Name:AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AUNJULI
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:908-364-7611
Mailing Address - Street 1:116 MILLBURN AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1919
Mailing Address - Country:US
Mailing Address - Phone:908-364-7611
Mailing Address - Fax:908-913-0912
Practice Address - Street 1:116 MILLBURN AVE STE 104
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1919
Practice Address - Country:US
Practice Address - Phone:908-364-7611
Practice Address - Fax:908-913-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00408800101YP2500X, 101YM0800X
NJ37AC00029500101YP2500X
NJ5068141041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1225361157OtherNPI INDIVIDUAL PROVIDER NUMBER