Provider Demographics
NPI:1255854253
Name:KOZAK, KAMILA EDYTA (LMHC)
Entity Type:Individual
Prefix:
First Name:KAMILA
Middle Name:EDYTA
Last Name:KOZAK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAMILA
Other - Middle Name:EDYTA
Other - Last Name:SZYMANSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:190 MERCER ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-1502
Mailing Address - Country:US
Mailing Address - Phone:212-677-3400
Mailing Address - Fax:212-995-5897
Practice Address - Street 1:190 MERCER ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1502
Practice Address - Country:US
Practice Address - Phone:212-677-3400
Practice Address - Fax:212-995-5897
Is Sole Proprietor?:No
Enumeration Date:2017-07-21
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP06074101YM0800X
NY009651-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health