Provider Demographics
NPI:1184231649
Name:TABI, YEHOSHUA YEHUDA (LMHC)
Entity Type:Individual
Prefix:MR
First Name:YEHOSHUA
Middle Name:YEHUDA
Last Name:TABI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 52ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1726
Mailing Address - Country:US
Mailing Address - Phone:347-517-8251
Mailing Address - Fax:
Practice Address - Street 1:1975 52ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1726
Practice Address - Country:US
Practice Address - Phone:347-517-8251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009754101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health