Provider Demographics
NPI:1568177970
Name:DR. KARLA FALLON, PHD, LMHC, LICENSED MENTAL HEALTH COUNSELING
Entity Type:Organization
Organization Name:DR. KARLA FALLON, PHD, LMHC, LICENSED MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:FALLON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:347-229-6356
Mailing Address - Street 1:100 PARK AVE RM 1600
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-5538
Mailing Address - Country:US
Mailing Address - Phone:347-229-6356
Mailing Address - Fax:347-434-8479
Practice Address - Street 1:100 PARK AVE RM 1600
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-5538
Practice Address - Country:US
Practice Address - Phone:347-229-6356
Practice Address - Fax:347-434-8479
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. KARLA FALLON, PHD, LMHC, LICENSED MENTAL HEALTH COUNSELING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty