Ms. Suraija Agosto, LAC
Counselor, Mental Health in New Providence, New Jersey
1326895251- Practice location
- 121 Chanlon RD, New Providence, NJ 07974-1543
- Phone
- 973-299-9954
- Fax
- —
- Last updated
- April 30, 2024
Suraija Agosto is a Counselor, Mental Health based in New Providence, NJ. Suraija Agosto practices in New Providence, NJ and has the professional credentials of LAC. The NPI Number for Suraija Agosto is 1326895251 and holds a License No. 1485. The current practice location address for Suraija Agosto is 121 Chanlon RD, New Providence, NJ 07974-1543 and can be reached out via phone at 973-299-9954.
Provider Profile Details
- NPI Number
- 1326895251
- Provider Name
- Suraija Agosto
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 121 Chanlon RD, New Providence, NJ 07974-1543
- Phone Number
- 973-299-9954
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 30, 2024
- Last Update Date
- April 30, 2024
- Certification Date
- April 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 121 Chanlon RD
New Providence, NJ 07974-1543 - City
- New Providence
- State
- New Jersey
- Zip
- 07974-1543
- Phone Number
- 973-299-9954
Provider Business Mailing Address Details
- Address
- 388 Huguenot Ave
Union, NJ 07083-7557 - City
- Union
- State
- NJ
- Zip
- 07083-7557
- Phone Number
- 718-924-9935
License Information
- License Number (1)
- 1485
- Taxonomy (1)
- Dance Therapist · 225600000X
- License Number (2)
- 37AC00643500
- License State (2)
- NJ
- Taxonomy (2)
- 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 New Providence, NJ
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- Dr. Carolyn R Degoria, DPTPhysical Therapist · NPI 1346676384
- Dr. Kathleen R Caridad, MDFamily Medicine · NPI 1710298203
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Frequently Asked Questions
What is the NPI number of Ms. Suraija Agosto, LAC?
The NPI number of Ms. Suraija Agosto, LAC is 1326895251. It was assigned on April 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Ms. Suraija Agosto, LAC?
Ms. Suraija Agosto, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed under license number 1485.
Where does Ms. Suraija Agosto, LAC practice?
The practice location is 121 Chanlon RD, New Providence, NJ 07974-1543. The office can be reached at 973-299-9954 (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 1326895251 directly on the NPPES registry website.