Provider Demographics
NPI:1073380689
Name:PERKINSON, NAKIA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NAKIA
Middle Name:
Last Name:PERKINSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MRS
Other - First Name:NAKIA
Other - Middle Name:
Other - Last Name:MITCHELL-PERKINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:55 SMITH ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-7800
Mailing Address - Country:US
Mailing Address - Phone:929-220-0454
Mailing Address - Fax:
Practice Address - Street 1:172 W 130TH ST OFC 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-2030
Practice Address - Country:US
Practice Address - Phone:855-816-4758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014119101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health