Provider Demographics
NPI:1346622388
Name:WISE MIND MENTAL HEALTH COUNSELING, P.C.
Entity Type:Organization
Organization Name:WISE MIND MENTAL HEALTH COUNSELING, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TUCHAPSKY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, LMHC, NCC, CCMHC
Authorized Official - Phone:718-207-3560
Mailing Address - Street 1:115 HENRY ST STE 1F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-2512
Mailing Address - Country:US
Mailing Address - Phone:718-207-3560
Mailing Address - Fax:
Practice Address - Street 1:115 HENRY ST STE 1F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2512
Practice Address - Country:US
Practice Address - Phone:718-207-3560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006282-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty