Healthcare Provider Details

I. General information

NPI: 1891620605
Provider Name (Legal Business Name): GABRIELLA MARIE BARCELONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 SPRINGDALE AVE
CLIFTON NJ
07013-3703
US

IV. Provider business mailing address

43 SPRINGDALE AVE
CLIFTON NJ
07013-3703
US

V. Phone/Fax

Practice location:
  • Phone: 973-295-0689
  • Fax:
Mailing address:
  • Phone: 973-295-0689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00967200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: