Provider Demographics
NPI:1689124570
Name:MUNOZ, DIEGO FELIPE (LMHC, NCC)
Entity Type:Individual
Prefix:MR
First Name:DIEGO
Middle Name:FELIPE
Last Name:MUNOZ
Suffix:
Gender:M
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E 35TH ST STE GROUNDJ
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4103
Mailing Address - Country:US
Mailing Address - Phone:646-660-4188
Mailing Address - Fax:
Practice Address - Street 1:141 E 35TH ST STE GROUNDJ
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:646-660-4188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-04
Last Update Date:2018-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP98951101YM0800X
NY008563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health