Provider Demographics
NPI:1043768641
Name:I & A COUNSELING CENTER LLC
Entity Type:Organization
Organization Name:I & A COUNSELING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PROFESSIONAL
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMENIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, PHD, MS
Authorized Official - Phone:718-220-4528
Mailing Address - Street 1:617 E 183RD ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-8702
Mailing Address - Country:US
Mailing Address - Phone:718-220-4528
Mailing Address - Fax:
Practice Address - Street 1:617 E 183RD ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-8702
Practice Address - Country:US
Practice Address - Phone:718-220-4528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-13
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001742-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty