Provider Demographics
NPI:1730460148
Name:STOYANOVA, VICTORIA A (LMHC, LMSW, CASAC)
Entity Type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:A
Last Name:STOYANOVA
Suffix:
Gender:F
Credentials:LMHC, LMSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9850 63RD DR APT 3E
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2312
Mailing Address - Country:US
Mailing Address - Phone:718-274-0950
Mailing Address - Fax:
Practice Address - Street 1:9850 63RD DR APT 3E
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2312
Practice Address - Country:US
Practice Address - Phone:718-274-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health