Provider Demographics
NPI:1972669968
Name:MICHAELS, NITA (LMHC)
Entity Type:Individual
Prefix:
First Name:NITA
Middle Name:
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:ANITA
Other - Middle Name:
Other - Last Name:MICHAELS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:201 W 80TH ST
Mailing Address - Street 2:APARTMENT # 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-7043
Mailing Address - Country:US
Mailing Address - Phone:212-362-7687
Mailing Address - Fax:212-663-6620
Practice Address - Street 1:315 HUDSON ST
Practice Address - Street 2:WORK CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-1009
Practice Address - Country:US
Practice Address - Phone:212-366-8335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001-347-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health