Provider Demographics
NPI:1477206753
Name:GUI XIANG LOO LCSW, PLLC
Entity Type:Organization
Organization Name:GUI XIANG LOO LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GUI XIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:LOO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-399-9420
Mailing Address - Street 1:2652 CROPSEY AVE APT 14G
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6732
Mailing Address - Country:US
Mailing Address - Phone:917-399-9420
Mailing Address - Fax:
Practice Address - Street 1:2652 CROPSEY AVE APT 14G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6732
Practice Address - Country:US
Practice Address - Phone:917-399-9420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health