Imelda D Mantilla, BA
Counselor in Clifton, New Jersey
1720598204- Practice location
- 777 Bloomfield Ave, Clifton, NJ 07012-1242
- Phone
- 973-594-0125
- Fax
- 973-594-0536
- Last updated
- October 10, 2017
Imelda D. Mantilla is a Counselor based in Clifton, NJ. Imelda D. Mantilla practices in Clifton, NJ and has the professional credentials of BA. The NPI Number for Imelda D. Mantilla is 1720598204. The current practice location address for Imelda D. Mantilla is 777 Bloomfield Ave, Clifton, NJ 07012-1242 and can be reached out via phone at 973-594-0125 and via fax at 973-594-0536.
Provider Profile Details
- NPI Number
- 1720598204
- Provider Name
- Imelda D. Mantilla
- Credential
- BA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 777 Bloomfield Ave, Clifton, NJ 07012-1242
- Phone Number
- 973-594-0125
- Fax Number
- 973-594-0536
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 10, 2017
- Last Update Date
- October 10, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 777 Bloomfield Ave
Clifton, NJ 07012-1242 - City
- Clifton
- State
- New Jersey
- Zip
- 07012-1242
- Phone Number
- 973-594-0125
- Fax Number
- 973-594-0536
Provider Business Mailing Address Details
- Address
- 777 Bloomfield Ave
Clifton, NJ 07012-1242 - City
- Clifton
- State
- NJ
- Zip
- 07012-1242
- Phone Number
- 973-594-0125
- Fax Number
- 973-594-0536
License Information
- License State
- NJ
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Clifton, NJ
View all Counselors in Clifton →Frequently Asked Questions
What is the NPI number of Imelda D Mantilla, BA?
The NPI number of Imelda D Mantilla, BA is 1720598204. It was assigned on October 10, 2017 and is currently active in the NPPES registry.
What is the specialty of Imelda D Mantilla, BA?
Imelda D Mantilla, BA is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Imelda D Mantilla, BA practice?
The practice location is 777 Bloomfield Ave, Clifton, NJ 07012-1242. The office can be reached at 973-594-0125 (phone) or 973-594-0536 (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 1720598204 directly on the NPPES registry website.