Provider Demographics
NPI:1518165117
Name:GARBOOS, BRENDA KATZ (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:BRENDA
Middle Name:KATZ
Last Name:GARBOOS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:KATZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 WEST 86TH STREET
Mailing Address - Street 2:APT #208
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024
Mailing Address - Country:US
Mailing Address - Phone:212-874-4405
Mailing Address - Fax:212-874-4405
Practice Address - Street 1:20 EXCHANGE PLACE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005
Practice Address - Country:US
Practice Address - Phone:212-825-5729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0018491101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health