Provider Demographics
NPI:1437028057
Name:GOOR, IRENE VAN (MHC-LP)
Entity type:Individual
Prefix:MISS
First Name:IRENE
Middle Name:VAN
Last Name:GOOR
Suffix:
Gender:F
Credentials:MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 COURT STREET
Mailing Address - Street 2:SUITE 2702
Mailing Address - City:BROOKLYN
Mailing Address - State:NEW YORK
Mailing Address - Zip Code:11242
Mailing Address - Country:UM
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 COURT STREET
Practice Address - Street 2:SUITE 2702
Practice Address - City:BROOKLYN
Practice Address - State:NEW YORK
Practice Address - Zip Code:11242
Practice Address - Country:UM
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP136764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health