Active NPIIndividual provider

Mrs. Edilia P Kelly, LAC

Counselor in Fair Lawn, New Jersey

NPI Number1073947990
Practice location
22-08 Route 208, Fair Lawn, NJ 07410-2609
Fax
—
Last updated
August 27, 2013

Edilia P Kelly is a Counselor based in Fair Lawn, NJ. Edilia P Kelly practices in Fair Lawn, NJ and has the professional credentials of LAC. The NPI Number for Edilia P Kelly is 1073947990 and holds a License No. 37AC0017500 (NJ). The current practice location address for Edilia P Kelly is 22-08 Route 208, Fair Lawn, NJ 07410-2609 and can be reached out via phone at 201-956-6363.

Provider Profile Details

NPI Number
1073947990
Provider Name
Edilia P Kelly
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
22-08 Route 208, Fair Lawn, NJ 07410-2609
Phone Number
201-956-6363
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2013
Last Update Date
August 27, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
22-08 Route 208
Fair Lawn, NJ 07410-2609
Zip
07410-2609
Phone Number
201-956-6363
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
89 Gate House Ln
Edison, NJ 08820-4011
City
Edison
State
NJ
Zip
08820-4011
Phone Number
201-956-6363

License Information

License Number
37AC0017500
License State
NJ
Taxonomy
Counselor · 101Y00000X · 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 Mrs. Edilia P Kelly, LAC?

The NPI number of Mrs. Edilia P Kelly, LAC is 1073947990. It was assigned on August 27, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Edilia P Kelly, LAC?

Mrs. Edilia P Kelly, LAC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37AC0017500.

Where does Mrs. Edilia P Kelly, LAC practice?

The practice location is 22-08 Route 208, Fair Lawn, NJ 07410-2609. The office can be reached at 201-956-6363 (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 1073947990 directly on the NPPES registry website.

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