Active NPIIndividual providerSole proprietor

Regina Charles, LAC

Counselor, Mental Health in Fair Lawn, New Jersey

NPI Number1184173452
Practice location
17-07 Romaine St, Fair Lawn, NJ 07410-2150
Fax
—
Last updated
November 7, 2016

Regina Charles is a Counselor, Mental Health based in Fair Lawn, NJ. Regina Charles practices in Fair Lawn, NJ and has the professional credentials of LAC. The NPI Number for Regina Charles is 1184173452 and holds a License No. 37ac00309600 (NJ). The current practice location address for Regina Charles is 17-07 Romaine St, Fair Lawn, NJ 07410-2150 and can be reached out via phone at 201-797-2660.

Provider Profile Details

NPI Number
1184173452
Provider Name
Regina Charles
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
17-07 Romaine St, Fair Lawn, NJ 07410-2150
Phone Number
201-797-2660
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2016
Last Update Date
November 7, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-07 Romaine St
Fair Lawn, NJ 07410-2150
Zip
07410-2150
Phone Number
201-797-2660
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
17-07 Romaine St
Fair Lawn, NJ 07410-2150
City
Fair Lawn
State
NJ
Zip
07410-2150
Phone Number
201-797-2660

License Information

License Number
37ac00309600
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.

Other Counselor, Mental Health providers near Fair Lawn, NJ

View all Counselor, Mental Health providers in Fair Lawn →

Frequently Asked Questions

What is the NPI number of Regina Charles, LAC?

The NPI number of Regina Charles, LAC is 1184173452. It was assigned on September 28, 2016 and is currently active in the NPPES registry.

What is the specialty of Regina Charles, LAC?

Regina Charles, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37ac00309600.

Where does Regina Charles, LAC practice?

The practice location is 17-07 Romaine St, Fair Lawn, NJ 07410-2150. The office can be reached at 201-797-2660 (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 1184173452 directly on the NPPES registry website.

Browse related providers