Provider Demographics
NPI:1619751948
Name:RIOS, VANESSA MARIA (LMHC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIA
Last Name:RIOS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 TUCKAHOE RD # 1159
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-5707
Mailing Address - Country:US
Mailing Address - Phone:917-727-0409
Mailing Address - Fax:
Practice Address - Street 1:50 NEPPERHAN ST APT 1403
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-3838
Practice Address - Country:US
Practice Address - Phone:917-727-0409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00883100101YP2500X
NY012292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional