VELEZ PROFESSIONAL SERVICES LLC NPI 1629275375

NPI Information

NPI: 1629275375
Provider Name: VELEZ PROFESSIONAL SERVICES, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1000 ATLANTIC AVE FL 4
CAMDEN, NJ
ZIP 08104
Phone: (856) 966-4515
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VELEZ PROFESSIONAL SERVICES, LLC is a mental health counselor in Camden, NJ. VELEZ PROFESSIONAL SERVICES, LLC NPI is 1629275375. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1000 ATLANTIC AVE FL 4
CAMDEN, NJ
ZIP 08104-132
Phone: (856) 966-4515
Fax: (856) 966-4566

The provider's authorized official is Carmen Milagro Velez .
The authorized official title is Ceo and has the following contact phone number (856) 966-4515.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes
2	1041C0700X	Social Worker	Clinical			X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0036048	MEDICAID	NEW JERSEY
2	0036064	MEDICAID	NEW JERSEY
3	0036056	MEDICAID	NEW JERSEY
4	0043567	MEDICAID	NEW JERSEY
5	0087171	MEDICAID	NEW JERSEY
6	0036021	MEDICAID	NEW JERSEY
7	0036072	MEDICAID	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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