Provider Demographics
NPI:1558766469
Name:KUYKENDALL, ZAYA (LMHC)
Entity Type:Individual
Prefix:
First Name:ZAYA
Middle Name:
Last Name:KUYKENDALL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ZAYA
Other - Middle Name:
Other - Last Name:KUYKENDALL-BOWEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-0212
Mailing Address - Country:US
Mailing Address - Phone:917-409-8190
Mailing Address - Fax:
Practice Address - Street 1:529 W 162ND ST
Practice Address - Street 2:APT. 1R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-6039
Practice Address - Country:US
Practice Address - Phone:917-409-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY26006101YA0400X
NY005925101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)