Provider Demographics
NPI:1043782097
Name:KRIGGER, LOUIS E (LICENSE MENTAL HEALT)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:E
Last Name:KRIGGER
Suffix:
Gender:M
Credentials:LICENSE MENTAL HEALT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106-38 150TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435
Mailing Address - Country:US
Mailing Address - Phone:718-291-4600
Mailing Address - Fax:718-291-6400
Practice Address - Street 1:RESTFULL NIGHTS CORPORATION
Practice Address - Street 2:106-38 150TH ST
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435
Practice Address - Country:US
Practice Address - Phone:718-291-4600
Practice Address - Fax:718-291-6400
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001819-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health