Marisa P Distefano LPC LLC
Counselor, Mental Health in Ridgewood, New Jersey
1194532861- Practice location
- 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229
- Phone
- 201-446-4669
- Fax
- —
- Last updated
- December 27, 2024
Marisa P Distefano LPC LLC is a healthcare organization based in Ridgewood, NJ. Marisa P Distefano LPC LLC practices in Ridgewood, NJ. The NPI Number for Marisa P Distefano LPC LLC is 1194532861. The current practice location address for Marisa P Distefano LPC LLC is 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229 and can be reached out via phone at 201-446-4669.
Provider Profile Details
- NPI Number
- 1194532861
- Provider Name
- Marisa P Distefano LPC LLC
- Provider Entity Type
- Organization
- Address
- 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229
- Phone Number
- 201-446-4669
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Organization Subpart
- No
- Authorized Official
- Ms. Marisa Distefano, LPC · Owner · 201-446-4669
- Provider Enumeration Date
- December 16, 2024
- Last Update Date
- December 27, 2024
- Certification Date
- December 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 172 Franklin Ave Ste 4B
Ridgewood, NJ 07450-3229 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3229
- Phone Number
- 201-446-4669
Provider Business Mailing Address Details
- Address
- 172 Franklin Ave Ste 4B
Ridgewood, NJ 07450-3229 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3229
- Phone Number
- 201-446-4669
License Information
- 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. | |||
Other Counselor, Mental Health providers near Ridgewood, NJ
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Frequently Asked Questions
What is the NPI number of Marisa P Distefano LPC LLC?
The NPI number of Marisa P Distefano LPC LLC is 1194532861. It was assigned on December 16, 2024 and is currently active in the NPPES registry.
What is the specialty of Marisa P Distefano LPC LLC?
Marisa P Distefano LPC LLC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Marisa P Distefano LPC LLC practice?
The practice location is 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229. The office can be reached at 201-446-4669 (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 1194532861 directly on the NPPES registry website.