Provider Demographics
NPI:1619304920
Name:MALDONADO, EDILI MARLENY (LMHC, NCC, CCMHC)
Entity Type:Individual
Prefix:MS
First Name:EDILI
Middle Name:MARLENY
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:LMHC, NCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 MAIN ST STE 500A
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6360
Mailing Address - Country:US
Mailing Address - Phone:914-314-5934
Mailing Address - Fax:
Practice Address - Street 1:481 MAIN ST STE 500A
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6360
Practice Address - Country:US
Practice Address - Phone:914-314-5934
Practice Address - Fax:929-376-2404
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health