Provider Demographics
NPI:1497881312
Name:CIELO, ELEONORA (MA LPC BCIA C)
Entity Type:Individual
Prefix:MS
First Name:ELEONORA
Middle Name:
Last Name:CIELO
Suffix:
Gender:F
Credentials:MA LPC BCIA C
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:M
Other - Last Name:CIELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:139 DOGWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HGTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922
Mailing Address - Country:US
Mailing Address - Phone:908-464-2135
Mailing Address - Fax:908-464-1344
Practice Address - Street 1:1806 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1005
Practice Address - Country:US
Practice Address - Phone:908-464-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJPC00721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
B3058OtherBIOFEEDBACK CERT
NJNJ00721OtherPC LICENSE