Provider Demographics
NPI:1194488437
Name:ABBOTT MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:ABBOTT MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:347-927-1155
Mailing Address - Street 1:599 4TH AVE APT 7A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6370
Mailing Address - Country:US
Mailing Address - Phone:917-528-9806
Mailing Address - Fax:
Practice Address - Street 1:50 E 42ND ST RM 1501B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5423
Practice Address - Country:US
Practice Address - Phone:347-927-1155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty