| Ariaceliz Ortiz Counseling And Consultations | |
|
248 Lorraine Avenue Suite 14 Montclair NJ 07043 | |
| (973) 979-3399 | |
| Not Available |
| Full Name | Ariaceliz Ortiz Counseling And Consultations |
|---|---|
| Speciality | Clinic/Center |
| Location | 248 Lorraine Avenue, Montclair, New Jersey |
| Authorized Official Name and Position | Ariaceliz Ortiz (CEO) |
| Authorized Official Contact | 9739793399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ariaceliz Ortiz Counseling And Consultations 248 Lorraine Ave Ste 14 Montclair NJ 07043-1454 Ph: (973) 979-3399 | Ariaceliz Ortiz Counseling And Consultations 248 Lorraine Avenue Suite 14 Montclair NJ 07043 Ph: (973) 979-3399 |
| NPI Number | 1326618760 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Medicare PECOS PAC ID | 3779985551 |
|---|---|
| Medicare Enrollment ID | O20210715003903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326618760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ariaceliz Ortiz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881991875 PECOS PAC ID: 7810174281 Enrollment ID: I20110613000183 |
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