AMELO BACCHUS LAC NPI 1205656402

NPI Information

  • NPI: 1205656402
  • Provider Name: AMELO BACCHUS, LAC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 67 SANFORD ST
    EAST ORANGE, NJ
    ZIP 07018
  • Phone: (973) 673-3342

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NPI Details

Amelo Bacchus, LAC is a mental health counselor in East Orange, NJ. Amelo Bacchus, LAC NPI is 1205656402. 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:

67 SANFORD ST
EAST ORANGE, NJ
ZIP 07018-926
Phone: (973) 673-3342
Fax: (973) 673-5612

The enumeration date for this NPI number is 10/12/2024 and was last updated on 10/12/2024.

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 Health37AC00826000NEW 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: 11/21/2025

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