Provider Demographics
NPI:1023820693
Name:HAPPY NEST PSYCHOTHERAPY MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:HAPPY NEST PSYCHOTHERAPY MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LEAD THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVI
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:551-253-3527
Mailing Address - Street 1:126 BEVERLY HILL RD
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-1406
Mailing Address - Country:US
Mailing Address - Phone:917-861-3168
Mailing Address - Fax:
Practice Address - Street 1:200 SEDGWICK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2632
Practice Address - Country:US
Practice Address - Phone:551-253-3527
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty