Amelo Bacchus, LAC
Counselor, Mental Health in East Orange, New Jersey
1205656402- Practice location
- 67 Sanford St, East Orange, NJ 07018-1926
- Phone
- 973-673-3342
- Fax
- 973-673-5612
- Last updated
- October 12, 2024
Amelo Bacchus is a Counselor, Mental Health based in East Orange, NJ. Amelo Bacchus practices in East Orange, NJ and has the professional credentials of LAC. The NPI Number for Amelo Bacchus is 1205656402 and holds a License No. 37AC00826000 (NJ). The current practice location address for Amelo Bacchus is 67 Sanford St, East Orange, NJ 07018-1926 and can be reached out via phone at 973-673-3342 and via fax at 973-673-5612.
Provider Profile Details
- NPI Number
- 1205656402
- Provider Name
- Amelo Bacchus
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 67 Sanford St, East Orange, NJ 07018-1926
- Phone Number
- 973-673-3342
- Fax Number
- 973-673-5612
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 12, 2024
- Last Update Date
- October 12, 2024
- Certification Date
- October 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 67 Sanford St
East Orange, NJ 07018-1926 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-1926
- Phone Number
- 973-673-3342
- Fax Number
- 973-673-5612
Provider Business Mailing Address Details
- Address
- 54 Polk St Apt O3
Newark, NJ 07105-2880 - City
- Newark
- State
- NJ
- Zip
- 07105-2880
- Phone Number
- 862-218-7755
License Information
- License Number
- 37AC00826000
- 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. | |||
Other Counselor, Mental Health providers near East Orange, NJ
View all Counselor, Mental Health providers in East Orange →- Aniesh M Adorno, LACCounselor, Mental Health · NPI 1265185250
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- Beverlee A SpencerCounselor, Mental Health · NPI 1316413321
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Frequently Asked Questions
What is the NPI number of Amelo Bacchus, LAC?
The NPI number of Amelo Bacchus, LAC is 1205656402. It was assigned on October 12, 2024 and is currently active in the NPPES registry.
What is the specialty of Amelo Bacchus, LAC?
Amelo Bacchus, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00826000.
Where does Amelo Bacchus, LAC practice?
The practice location is 67 Sanford St, East Orange, NJ 07018-1926. The office can be reached at 973-673-3342 (phone) or 973-673-5612 (fax).
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 1205656402 directly on the NPPES registry website.