ANGIE EBRAHEEM MA LAC NPI 1164259503

NPI Information

  • NPI: 1164259503
  • Provider Name: ANGIE EBRAHEEM, MA, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 179 PALISADE AVE
    JERSEY CITY, NJ
    ZIP 07306
  • Phone: (201) 795-8126

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NPI Details

Angie Ebraheem, MA, LAC is a mental health counselor in Jersey City, NJ. Angie Ebraheem, MA, LAC NPI is 1164259503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

179 PALISADE AVE
JERSEY CITY, NJ
ZIP 07306-103
Phone: (201) 795-8126

The enumeration date for this NPI number is 9/18/2024 and was last updated on 9/18/2024.

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
1101YM0800XCounselorMental Health37AC00817900NEW JERSEYYes

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: 3/30/2025

NPI Synchronization or Removal

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