Active NPIIndividual provider

Eleonora Tavella, NCC, LAC

Counselor, Mental Health in East Brunswick, New Jersey

NPI Number1134643307
Practice location
15 W Prospect St, East Brunswick, NJ 08816-2161
Fax
—
Last updated
July 31, 2017

Eleonora Tavella is a Counselor, Mental Health based in East Brunswick, NJ. Eleonora Tavella practices in East Brunswick, NJ and has the professional credentials of NCC, LAC. The NPI Number for Eleonora Tavella is 1134643307 and holds a License No. 37AC00325200 (NJ). The current practice location address for Eleonora Tavella is 15 W Prospect St, East Brunswick, NJ 08816-2161 and can be reached out via phone at 732-254-0600.

Provider Profile Details

NPI Number
1134643307
Provider Name
Eleonora Tavella
Credential
NCC, LAC
Provider Entity Type
Individual
Gender
Female
Address
15 W Prospect St, East Brunswick, NJ 08816-2161
Phone Number
732-254-0600
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2017
Last Update Date
July 31, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 W Prospect St
East Brunswick, NJ 08816-2161
Zip
08816-2161
Phone Number
732-254-0600
East Brunswick, NJ 08816Get directions →

Provider Business Mailing Address Details

Address
41 Columbia Ave
Colonia, NJ 07067-2805
City
Colonia
State
NJ
Zip
07067-2805

License Information

License Number
37AC00325200
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 Eleonora Tavella, NCC, LAC?

The NPI number of Eleonora Tavella, NCC, LAC is 1134643307. It was assigned on July 31, 2017 and is currently active in the NPPES registry.

What is the specialty of Eleonora Tavella, NCC, LAC?

Eleonora Tavella, NCC, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00325200.

Where does Eleonora Tavella, NCC, LAC practice?

The practice location is 15 W Prospect St, East Brunswick, NJ 08816-2161. The office can be reached at 732-254-0600 (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 1134643307 directly on the NPPES registry website.

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