Active NPIIndividual provider

Micaela Defelice, LAC

Counselor, Mental Health in Brick, New Jersey

NPI Number1043078470
Practice location
74 Brick Blvd, Bldg 4. Suite 117, Brick, NJ 08723
Fax
—
Last updated
March 11, 2024

Micaela Defelice is a Counselor, Mental Health based in Brick, NJ. Micaela Defelice practices in Brick, NJ and has the professional credentials of LAC. The NPI Number for Micaela Defelice is 1043078470 and holds a License No. 37AC00776000 (NJ). The current practice location address for Micaela Defelice is 74 Brick Blvd, Bldg 4. Suite 117, Brick, NJ 08723 and can be reached out via phone at 732-978-9843.

Provider Profile Details

NPI Number
1043078470
Provider Name
Micaela Defelice
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
74 Brick Blvd, Bldg 4. Suite 117, Brick, NJ 08723
Phone Number
732-978-9843
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 11, 2024
Last Update Date
March 11, 2024
Certification Date
March 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 Brick Blvd, Bldg 4. Suite 117
Brick, NJ 08723
City
Brick
Zip
08723
Phone Number
732-978-9843
Brick, NJ 08723Get directions →

Provider Business Mailing Address Details

Address
74 Brick Blvd Ste 117
Brick, NJ 08723-7984
City
Brick
State
NJ
Zip
08723-7984

License Information

License Number
37AC00776000
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Micaela Defelice, LAC?

The NPI number of Micaela Defelice, LAC is 1043078470. It was assigned on March 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Micaela Defelice, LAC?

Micaela Defelice, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00776000.

Where does Micaela Defelice, LAC practice?

The practice location is 74 Brick Blvd, Bldg 4. Suite 117, Brick, NJ 08723. The office can be reached at 732-978-9843 (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 1043078470 directly on the NPPES registry website.

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