Provider Demographics
NPI:1912366477
Name:MIESES, TONI ROSE (LMHC)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:ROSE
Last Name:MIESES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:ROSE
Other - Last Name:VERDEJO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:590 AVENUE OF THE AMERICAS
Mailing Address - Street 2:ATTN: CREDENTIALING
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2022
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8 W 126TH STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027
Practice Address - Country:US
Practice Address - Phone:914-266-2445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-12
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health