Provider Demographics
NPI:1215534003
Name:BROWN-CROSBY, MALIKA (LMHC)
Entity Type:Individual
Prefix:
First Name:MALIKA
Middle Name:
Last Name:BROWN-CROSBY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12907 157TH ST
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-2845
Mailing Address - Country:US
Mailing Address - Phone:347-737-2997
Mailing Address - Fax:
Practice Address - Street 1:420 LEXINGTON AVE. STE 1402 -1043
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10170-1017
Practice Address - Country:US
Practice Address - Phone:862-438-5905
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011212101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health