Provider Demographics
NPI:1114696697
Name:MAFI, ANGELINA ADA (MHC)
Entity Type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:ADA
Last Name:MAFI
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:MS
Other - First Name:LINA
Other - Middle Name:
Other - Last Name:MAFI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MHC
Mailing Address - Street 1:107 WAYNE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3439
Mailing Address - Country:US
Mailing Address - Phone:562-253-5242
Mailing Address - Fax:
Practice Address - Street 1:875 6TH AVE RM 2300
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3507
Practice Address - Country:US
Practice Address - Phone:732-778-0107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health