Healthcare Provider Details

I. General information

NPI: 1508783945
Provider Name (Legal Business Name): VICTORIA RAMDIN LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VIKKI RAMDIN

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FAIRFIELD AVE STE 1B&1C
WEST CALDWELL NJ
07006-6425
US

IV. Provider business mailing address

35 LINCOLN ST
ROSELAND NJ
07068-1227
US

V. Phone/Fax

Practice location:
  • Phone: 973-886-8300
  • Fax:
Mailing address:
  • Phone: 973-303-6819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37AC00982200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: