Active NPIIndividual providerSole proprietor

Robert Iannace Jr., LAC, NCC

Counselor, Mental Health in Blackwood, New Jersey

NPI Number1659103943
Practice location
4551 Black Horse Pike, Blackwood, NJ 08012-1751
Fax
—
Last updated
August 15, 2024

Robert Iannace is a Counselor, Mental Health based in Blackwood, NJ. Robert Iannace practices in Blackwood, NJ and has the professional credentials of LAC, NCC. The NPI Number for Robert Iannace is 1659103943 and holds a License No. 37AC00809900 (NJ). The current practice location address for Robert Iannace is 4551 Black Horse Pike, Blackwood, NJ 08012-1751 and can be reached out via phone at 856-981-9905.

Provider Profile Details

NPI Number
1659103943
Provider Name
Robert Iannace
Credential
LAC, NCC
Provider Entity Type
Individual
Gender
Male
Address
4551 Black Horse Pike, Blackwood, NJ 08012-1751
Phone Number
856-981-9905
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2024
Last Update Date
August 15, 2024
Certification Date
August 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4551 Black Horse Pike
Blackwood, NJ 08012-1751
Zip
08012-1751
Phone Number
856-981-9905
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
82 Partridge Ln
Cherry Hill, NJ 08003-1950
City
Cherry Hill
State
NJ
Zip
08003-1950
Phone Number
215-554-0837

License Information

License Number
37AC00809900
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Robert Iannace Jr., LAC, NCC?

The NPI number of Robert Iannace Jr., LAC, NCC is 1659103943. It was assigned on August 15, 2024 and is currently active in the NPPES registry.

What is the specialty of Robert Iannace Jr., LAC, NCC?

Robert Iannace Jr., LAC, NCC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00809900.

Where does Robert Iannace Jr., LAC, NCC practice?

The practice location is 4551 Black Horse Pike, Blackwood, NJ 08012-1751. The office can be reached at 856-981-9905 (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 1659103943 directly on the NPPES registry website.

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