# AUTONOME COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588175822
- **Authorized official:** MR. ADAM WESLEY THOMAS LPC (OWNER/SUPERVISOR)
- **Authorized official phone:** (201) 743-8052

## Contact information

- **Practice address:** 60 LENAPE TRL, BRICK, NJ 08724-4453
- **Practice address phone:** (201) 743-8052
- **Practice address fax:** (732) 612-1273
- **Mailing address:** 60 LENAPE TRL, BRICK, NJ 08724-4453
- **Mailing address phone:** (201) 743-8052
- **Mailing address fax:** (732) 612-1273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 37PC00502900 | NJ | Yes |

## Other

- **Enumeration date:** 10/13/2017
- **Last updated:** 06/16/2018