Provider Demographics
NPI:1760852404
Name:EL-BARKACHI, FARYDAH (MHC)
Entity Type:Individual
Prefix:
First Name:FARYDAH
Middle Name:
Last Name:EL-BARKACHI
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 ROCKAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2330
Mailing Address - Country:US
Mailing Address - Phone:718-257-3195
Mailing Address - Fax:718-257-1162
Practice Address - Street 1:1285 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-2330
Practice Address - Country:US
Practice Address - Phone:718-257-3195
Practice Address - Fax:718-257-1162
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP95512101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health