Provider Demographics
NPI:1407295645
Name:BREITMAN, NOELIA (LMHC, LPC)
Entity Type:Individual
Prefix:MS
First Name:NOELIA
Middle Name:
Last Name:BREITMAN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 PARK VIEW AVE PH 25
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-8318
Mailing Address - Country:US
Mailing Address - Phone:954-907-4100
Mailing Address - Fax:
Practice Address - Street 1:79 HUDSON ST STE 203
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030
Practice Address - Country:US
Practice Address - Phone:954-907-4100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 11854101YM0800X
WI5440-125101YP2500X
NJ37PC00616100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health