Provider Demographics
NPI:1598302549
Name:JOEL KOUAME
Entity Type:Organization
Organization Name:JOEL KOUAME
Other - Org Name:JK COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KOUAME
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:646-883-5911
Mailing Address - Street 1:3110 37TH AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2112
Mailing Address - Country:US
Mailing Address - Phone:646-883-5911
Mailing Address - Fax:
Practice Address - Street 1:3110 37TH AVE STE 401
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2112
Practice Address - Country:US
Practice Address - Phone:646-883-5911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty