RICHARD JAMES MANSFIELD LAC
NPI 1336647825
Counselor - Mental Health in Newark, NJ
Active since January 30, 2018
About Richard James Mansfield Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD JAMES MANSFIELD LAC (NPI 1336647825) is an individual mental health provider in Newark, New Jersey, licensed in New Jersey (37AC00309400) and active in the NPI registry since January 2018.
NPPES Registry Identity
NPI1336647825
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRICHARD JAMES MANSFIELDCredential: LAC
Location Address274 S ORANGE AVENewark, NJ 07103-2419
Mailing Address23 Beavers StHigh Bridge, NJ 08829-1720 · (908) 337-6588
Phone(973) 412-2056
Fax(973) 484-3452
Sole ProprietorNo
Enumeration DateJanuary 30, 2018
✔ NPI 1336647825 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 · 37AC00309400
274 S ORANGE AVE, Newark, NJ 07103
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
274 S ORANGE AVE
NEWARK, NJ 07103
NEWARK, NJ 07103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336647825, enumerated as an "individual" on January 30, 2018.
The provider is located at 274 S ORANGE AVE NEWARK, NJ 07103 and the phone number is (973) 412-2056.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.