Provider Demographics
NPI:1629611991
Name:LING, XIAO (LMHC)
Entity Type:Individual
Prefix:
First Name:XIAO
Middle Name:
Last Name:LING
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 1:19 W 34TH ST PH FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3006
Mailing Address - Country:US
Mailing Address - Phone:917-765-4966
Mailing Address - Fax:
Practice Address - Street 1:19 W 34TH STREET PENTHOUSE
Practice Address - Street 2:SUITE 46
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-1000
Practice Address - Country:US
Practice Address - Phone:917-765-4966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-19
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011258101YM0800X
NY101533-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health