Lissette Bautista, MA
Counselor, Mental Health in Clifton, New Jersey
1396558854- Practice location
- 1187 Main Ave Ste 3F, Clifton, NJ 07011-2252
- Phone
- 855-453-6611
- Fax
- —
- Last updated
- January 29, 2025
Lissette Bautista is a Counselor, Mental Health based in Clifton, NJ. Lissette Bautista practices in Clifton, NJ and has the professional credentials of MA. The NPI Number for Lissette Bautista is 1396558854 and holds a License No. 37AC00853300 (NJ). The current practice location address for Lissette Bautista is 1187 Main Ave Ste 3F, Clifton, NJ 07011-2252 and can be reached out via phone at 855-453-6611.
Provider Profile Details
- NPI Number
- 1396558854
- Provider Name
- Lissette Bautista
- Credential
- MA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1187 Main Ave Ste 3F, Clifton, NJ 07011-2252
- Phone Number
- 855-453-6611
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 29, 2025
- Last Update Date
- January 29, 2025
- Certification Date
- January 29, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1187 Main Ave Ste 3F
Clifton, NJ 07011-2252 - City
- Clifton
- State
- New Jersey
- Zip
- 07011-2252
- Phone Number
- 855-453-6611
Provider Business Mailing Address Details
- Address
- 159 N 17TH St
Bloomfield, NJ 07003-5816 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-5816
- Phone Number
- 973-337-9317
License Information
- License Number
- 37AC00853300
- 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 Clifton, NJ
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- Alexa J AntonelliCounselor, Mental Health · NPI 1225774755
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Frequently Asked Questions
What is the NPI number of Lissette Bautista, MA?
The NPI number of Lissette Bautista, MA is 1396558854. It was assigned on January 29, 2025 and is currently active in the NPPES registry.
What is the specialty of Lissette Bautista, MA?
Lissette Bautista, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00853300.
Where does Lissette Bautista, MA practice?
The practice location is 1187 Main Ave Ste 3F, Clifton, NJ 07011-2252. The office can be reached at 855-453-6611 (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 1396558854 directly on the NPPES registry website.