Provider Demographics
NPI:1275030967
Name:FLEYSHMAKHER, MAYYA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MAYYA
Middle Name:
Last Name:FLEYSHMAKHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 CRAWFORDS CORNER RD STE 1101
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1977
Mailing Address - Country:US
Mailing Address - Phone:732-322-2589
Mailing Address - Fax:
Practice Address - Street 1:101 CRAWFORDS CORNER RD STE 1101
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1977
Practice Address - Country:US
Practice Address - Phone:732-322-2589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-09
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00616700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health