Provider Demographics
NPI:1497215545
Name:SORIANO, LAURA MARILYN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:MARILYN
Last Name:SORIANO
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 1:7714 113TH ST APT 2R
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-7111
Mailing Address - Country:US
Mailing Address - Phone:646-272-8058
Mailing Address - Fax:
Practice Address - Street 1:7714 113TH ST APT 2R
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-7111
Practice Address - Country:US
Practice Address - Phone:646-272-8058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-24
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY008263101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health