DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHANEL VIVIANA TAZZA, LMHC

Active Sole Proprietor

CHANEL VIVIANA TAZZA, LMHC is a Mental Health Counselor healthcare provider located in RIDGEWOOD, New York. NPI 1053510354 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · RIDGEWOOD, NY

Registration Details

NPI Number
1053510354
Provider Type
Individual
Gender
Female
NPI Issued
Jul 16, 2007 (18.936846417125 yrs)
Last Updated
Mar 28, 2024
License
004161 (NY)
Sole Proprietor
Yes

Practice Information

Address
5913 GROVE ST
RIDGEWOOD, NY, 113852647
Browse NY providers · Browse ZIP 11385
Phone
6464560819
Fax
7182978658
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in RIDGEWOOD, NY

Name Credential NPI
MR. DENIS EDUARDO BLUMBERG LCSW, CASAC 1467526640
MRS. DENISE VALENTIN LMHC 1821233560
MRS. FRANCISCA NAZARIO-PELLOT M.A. 1487886982
MR. ORLANDO M PELLOT MS, LMHC 1295967685
MRS. NINO TEVDORASHVILI LMHC 1033412523
MRS. BRENDA LYNN ENRIQUEZ LMHC 1265976476
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.