Provider Demographics
NPI:1073161154
Name:SINGLETON-SPIVEY, LENA DIANA (CASAC-T)
Entity Type:Individual
Prefix:MRS
First Name:LENA
Middle Name:DIANA
Last Name:SINGLETON-SPIVEY
Suffix:
Gender:F
Credentials:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2430 ADAM CLAYTON POWELL JR BLVD APT 15D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-1621
Mailing Address - Country:US
Mailing Address - Phone:917-620-0184
Mailing Address - Fax:
Practice Address - Street 1:214 W 116TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2494
Practice Address - Country:US
Practice Address - Phone:212-620-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-31
Last Update Date:2019-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty