Provider Demographics
NPI:1710547468
Name:AYATA, SEDA (LMHC)
Entity Type:Individual
Prefix:
First Name:SEDA
Middle Name:
Last Name:AYATA
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 1:10232 65TH AVE APT B44
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-1707
Mailing Address - Country:US
Mailing Address - Phone:347-463-8066
Mailing Address - Fax:646-844-5961
Practice Address - Street 1:10235 64TH RD APT GF
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1545
Practice Address - Country:US
Practice Address - Phone:347-463-8066
Practice Address - Fax:646-844-5961
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-15
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009548101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty