Provider Demographics
NPI:1922396910
Name:CHAUHAN, MONIQUE (LMHC, CASAC, CLC)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:
Last Name:CHAUHAN
Suffix:
Gender:F
Credentials:LMHC, CASAC, CLC
Other - Prefix:
Other - First Name:MONIQUE
Other - Middle Name:
Other - Last Name:MONTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LHMC, CASAC
Mailing Address - Street 1:149 MADISON AVE
Mailing Address - Street 2:SUITE 1121
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6713
Mailing Address - Country:US
Mailing Address - Phone:646-504-9038
Mailing Address - Fax:
Practice Address - Street 1:149 MADISON AVE
Practice Address - Street 2:SUITE 404B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6713
Practice Address - Country:US
Practice Address - Phone:646-504-9038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2017-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NY005611101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)