Provider Demographics
NPI:1326618760
Name:ARIACELIZ ORTIZ COUNSELING AND CONSULTATIONS
Entity Type:Organization
Organization Name:ARIACELIZ ORTIZ COUNSELING AND CONSULTATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ARIACELIZ
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCADC, LCSW
Authorized Official - Phone:973-979-3399
Mailing Address - Street 1:248 LORRAINE AVE STE 14
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1454
Mailing Address - Country:US
Mailing Address - Phone:973-979-3399
Mailing Address - Fax:
Practice Address - Street 1:248 LORRAINE AVENUE
Practice Address - Street 2:SUITE 14
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043
Practice Address - Country:US
Practice Address - Phone:973-979-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health