Provider Demographics
NPI: | 1396403564 |
---|---|
Name: | NEW START MENTAL HEALTH COUNSELING |
Entity Type: | Organization |
Organization Name: | NEW START MENTAL HEALTH COUNSELING |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CLINICAL DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | SEDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | AYATA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LMHC |
Authorized Official - Phone: | 347-463-8066 |
Mailing Address - Street 1: | 10232 65TH AVE APT B44 |
Mailing Address - Street 2: | |
Mailing Address - City: | FOREST HILLS |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11375-1707 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 347-463-0666 |
Mailing Address - Fax: | 646-844-5961 |
Practice Address - Street 1: | 10235 64TH RD APT GF |
Practice Address - Street 2: | |
Practice Address - City: | FOREST HILLS |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11375-1545 |
Practice Address - Country: | US |
Practice Address - Phone: | 347-463-8066 |
Practice Address - Fax: | 646-844-5961 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-12-03 |
Last Update Date: | 2023-06-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |