Provider Demographics
NPI:1679991608
Name:TEJADA, YEIRA (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:YEIRA
Middle Name:
Last Name:TEJADA
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 1:98 S FRANKLIN AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-6119
Mailing Address - Country:US
Mailing Address - Phone:917-349-8855
Mailing Address - Fax:
Practice Address - Street 1:98 S FRANKLIN AVE APT 23
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-6119
Practice Address - Country:US
Practice Address - Phone:917-349-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-07
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker