Provider Demographics
NPI:1417224668
Name:FREIRE, ANTHONY (LMHC, NCC, CCMHC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:FREIRE
Suffix:
Gender:M
Credentials:LMHC, NCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CHARLTON ST
Mailing Address - Street 2:4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-4909
Mailing Address - Country:US
Mailing Address - Phone:917-592-2345
Mailing Address - Fax:
Practice Address - Street 1:159 BLEECKER ST APT 2C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-1490
Practice Address - Country:US
Practice Address - Phone:917-592-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP82476101YM0800X
NY005798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health