Provider Demographics
NPI:1174415780
Name:GAROFALO, NICHOLAS FRANCIS (MA, LAC, NCC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:FRANCIS
Last Name:GAROFALO
Suffix:
Gender:M
Credentials:MA, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 GODWIN AVE STE 300&330
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1449
Mailing Address - Country:US
Mailing Address - Phone:551-319-2029
Mailing Address - Fax:201-399-3563
Practice Address - Street 1:666 GODWIN AVE STE 300&330
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1449
Practice Address - Country:US
Practice Address - Phone:551-319-2029
Practice Address - Fax:201-399-3563
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00877900101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor