Provider Demographics
NPI:1851098776
Name:MULTIMODAL MENTAL HEALTH COUNSELING, PLLC
Entity Type:Organization
Organization Name:MULTIMODAL MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS, LMHC
Authorized Official - Prefix:MS
Authorized Official - First Name:DANELYS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC
Authorized Official - Phone:914-575-1305
Mailing Address - Street 1:131 LARCHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-2804
Mailing Address - Country:US
Mailing Address - Phone:914-575-1305
Mailing Address - Fax:914-560-2136
Practice Address - Street 1:131 LARCHMONT AVE
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-2804
Practice Address - Country:US
Practice Address - Phone:914-575-1305
Practice Address - Fax:914-560-2136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty