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

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Active Organization

Mental Health Counselor · FOREST HILLS, NY

Registration Details

NPI Number
1639271877
Provider Type
Organization
NPI Issued
Sep 1, 2006 (19.640177237957 yrs)
Last Updated
Sep 11, 2025
Licenses
R0478551 (NY)
R0478551 (NY)

Practice Information

Address
98 76 QUEENS BLVD
STE 1C
FOREST HILLS, NY, 11375
Browse NY providers · Browse ZIP 11375
Phone
6466458016
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.