Madeorakouma Bahomda, MS
Counselor, Professional in East Orange, New Jersey
1538993662- Practice location
- 650 Park Ave Apt 206, East Orange, NJ 07017-1578
- Phone
- 973-789-4037
- Fax
- —
- Last updated
- August 30, 2024
Madeorakouma Bahomda is a Counselor, Professional based in East Orange, NJ. Madeorakouma Bahomda practices in East Orange, NJ and has the professional credentials of MS. The NPI Number for Madeorakouma Bahomda is 1538993662 and holds a License No. 37PC00961800 (NJ). The current practice location address for Madeorakouma Bahomda is 650 Park Ave Apt 206, East Orange, NJ 07017-1578 and can be reached out via phone at 973-789-4037.
Provider Profile Details
- NPI Number
- 1538993662
- Provider Name
- Madeorakouma Bahomda
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 650 Park Ave Apt 206, East Orange, NJ 07017-1578
- Phone Number
- 973-789-4037
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 30, 2024
- Last Update Date
- August 30, 2024
- Certification Date
- August 30, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 650 Park Ave Apt 206
East Orange, NJ 07017-1578 - City
- East Orange
- State
- New Jersey
- Zip
- 07017-1578
- Phone Number
- 973-789-4037
Provider Business Mailing Address Details
- Address
- 650 Park Ave Apt 206
East Orange, NJ 07017-1578 - City
- East Orange
- State
- NJ
- Zip
- 07017-1578
- Phone Number
- 973-789-4037
License Information
- License Number
- 37PC00961800
- License State
- NJ
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Madeorakouma Bahomda, MS?
The NPI number of Madeorakouma Bahomda, MS is 1538993662. It was assigned on August 30, 2024 and is currently active in the NPPES registry.
What is the specialty of Madeorakouma Bahomda, MS?
Madeorakouma Bahomda, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00961800.
Where does Madeorakouma Bahomda, MS practice?
The practice location is 650 Park Ave Apt 206, East Orange, NJ 07017-1578. The office can be reached at 973-789-4037 (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 1538993662 directly on the NPPES registry website.