Provider Demographics
NPI:1073196689
Name:ADAM-WHITER, YARA (LMHC, NCC, CASAC-T)
Entity Type:Individual
Prefix:
First Name:YARA
Middle Name:
Last Name:ADAM-WHITER
Suffix:
Gender:F
Credentials:LMHC, NCC, CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5002
Mailing Address - Country:US
Mailing Address - Phone:347-509-5210
Mailing Address - Fax:
Practice Address - Street 1:326 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5002
Practice Address - Country:US
Practice Address - Phone:347-509-5210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY37593101YA0400X
NYP107046101YM0800X
NY013416101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
1725329OtherNATIONAL BOARD FOR CERTIFIED COUNSELOR