ANGIE EBRAHEEM MA, LAC - NPI 1164259503 - Counselor in Jersey City, NJ

Q: What is Angie Ebraheem's NPI number?

The NPI number for Angie Ebraheem is 1164259503. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Q: What is Angie Ebraheem's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Angie Ebraheem was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Angie Ebraheem Ma, Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE EBRAHEEM MA, LAC (NPI 1164259503) is an individual mental health provider in Jersey City, New Jersey, licensed in New Jersey (37AC00817900) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1164259503

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameANGIE EBRAHEEMCredential: MA, LAC

Location Address179 PALISADE AVEJersey City, NJ 07306-1103

Mailing Address176 Palisade AveJersey City, NJ 07306-1196

Phone(201) 795-8126

Sole ProprietorNo

Enumeration DateSeptember 18, 2024

NPPES CertifiedSeptember 18, 2024

✔ NPI 1164259503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NJ · 37AC00817900

179 PALISADE AVE, Jersey City, NJ 07306

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRIST HOSPITAL

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