Provider Demographics
NPI:1760850309
Name:TAUHEED CENTER FOR HUMAN EXCELLENCE, INC.
Entity Type:Organization
Organization Name:TAUHEED CENTER FOR HUMAN EXCELLENCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:ALIYAH
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CARC, CRPA
Authorized Official - Phone:917-577-2343
Mailing Address - Street 1:1166 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11216-1617
Mailing Address - Country:US
Mailing Address - Phone:347-663-3122
Mailing Address - Fax:
Practice Address - Street 1:1166 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216-1617
Practice Address - Country:US
Practice Address - Phone:347-663-3122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028179-1101Y00000X
NY000262-1101Y00000X
NY045967-1104100000X, 251G00000X, 261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000000OtherRESEARCH FUND MENTAL HEALTH GRANT