Angie Ebraheem, MA, LAC
Counselor, Mental Health in Jersey City, New Jersey
1164259503- Practice location
- 179 Palisade Ave, Jersey City, NJ 07306-1103
- Phone
- 201-795-8126
- Fax
- —
- Last updated
- September 18, 2024
Angie Ebraheem is a Counselor, Mental Health based in Jersey City, NJ. Angie Ebraheem practices in Jersey City, NJ and has the professional credentials of MA, LAC. The NPI Number for Angie Ebraheem is 1164259503 and holds a License No. 37AC00817900 (NJ). The current practice location address for Angie Ebraheem is 179 Palisade Ave, Jersey City, NJ 07306-1103 and can be reached out via phone at 201-795-8126.
Provider Profile Details
- NPI Number
- 1164259503
- Provider Name
- Angie Ebraheem
- Credential
- MA, LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 179 Palisade Ave, Jersey City, NJ 07306-1103
- Phone Number
- 201-795-8126
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 18, 2024
- Last Update Date
- September 18, 2024
- Certification Date
- September 18, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 179 Palisade Ave
Jersey City, NJ 07306-1103 - City
- Jersey City
- State
- New Jersey
- Zip
- 07306-1103
- Phone Number
- 201-795-8126
Provider Business Mailing Address Details
- Address
- 176 Palisade Ave
Jersey City, NJ 07306-1196 - City
- Jersey City
- State
- NJ
- Zip
- 07306-1196
License Information
- License Number
- 37AC00817900
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Angie Ebraheem, MA, LAC?
The NPI number of Angie Ebraheem, MA, LAC is 1164259503. It was assigned on September 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Angie Ebraheem, MA, LAC?
Angie Ebraheem, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00817900.
Where does Angie Ebraheem, MA, LAC practice?
The practice location is 179 Palisade Ave, Jersey City, NJ 07306-1103. The office can be reached at 201-795-8126 (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 1164259503 directly on the NPPES registry website.