Healthcare Provider Details

I. General information

NPI: 1700740735
Provider Name (Legal Business Name): MELISSA BARBI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2025
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 LORRAINE ST
GLEN RIDGE NJ
07028-2028
US

IV. Provider business mailing address

22 LORRAINE ST
GLEN RIDGE NJ
07028-2028
US

V. Phone/Fax

Practice location:
  • Phone: 201-303-0711
  • Fax:
Mailing address:
  • Phone: 201-303-0711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37AC00010900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: