Provider Demographics
NPI:1437297546
Name:SHOKOUHI-BEHNAM, SHIRINAK (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHIRINAK
Middle Name:
Last Name:SHOKOUHI-BEHNAM
Suffix:
Gender:F
Credentials:LMHC
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 610
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242
Mailing Address - Country:US
Mailing Address - Phone:917-846-6692
Mailing Address - Fax:
Practice Address - Street 1:247 E 82ND ST FL 3
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-2701
Practice Address - Country:US
Practice Address - Phone:917-846-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY17597101YA0400X
NY001859101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)