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AMELO BACCHUS LAC
NPI 1205656402
Counselor - Mental Health in East Orange, NJ

Active since October 12, 2024
67 SANFORD ST, EAST ORANGE, NJ 07018(973) 673-3342(973) 673-5612 Get Directions Write a Review

NPPES record last updated: October 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amelo Bacchus Lac NPPES

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

AMELO BACCHUS LAC (NPI 1205656402) is an individual mental health provider in East Orange, New Jersey, licensed in New Jersey (37AC00826000) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1205656402
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMELO BACCHUSCredential: LAC
Location Address67 SANFORD STEast Orange, NJ 07018-1926
Mailing Address54 Polk St Apt O3Newark, NJ 07105-2880 · (862) 218-7755
Phone(973) 673-3342
Fax(973) 673-5612
Sole ProprietorYes
Enumeration DateOctober 12, 2024
NPPES CertifiedOctober 12, 2024
✔ NPI 1205656402 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 · 37AC00826000
67 SANFORD ST, East Orange, NJ 07018
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Other Providers at the Same Location NPPES 7

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

MRS. FELICIA LOREN LOPEZ WRIGHT LCSW
Social Worker (Clinical)
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342
COMMUNITY PSYCHIATRIC INSTITUTE
Substance Abuse Rehabilitation Facility
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342
COMMUNITY PSYCHIATRIC INTITUTE
Substance Abuse Rehabilitation Facility
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342
MELVIN FRANKLIN GATTIS II LPC
Counselor (Professional)
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342
ANNA FARMER LCSW
Social Worker (Clinical)
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342
DANIEL FEINSTEIN LSW
Social Worker
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342
COMMUNITY PSYCHIATRIC INSTITUTE
Community/Behavioral Health
67 SANFORD ST
EAST ORANGE, NJ 07018
Essex County (973) 673-3342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amelo Bacchus's NPI number?

The NPI number for Amelo Bacchus is 1205656402. It was assigned to this individual provider in the NPPES registry on October 12, 2024.

Where is Amelo Bacchus located?

Amelo Bacchus practices at 67 Sanford St, East Orange, NJ 07018. The listed phone number is (973) 673-3342.

What is Amelo Bacchus's specialty?

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

When was this NPI record last updated?

The NPPES record for Amelo Bacchus was last updated on October 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.