Provider Demographics
NPI:1245108067
Name:MANGAL, ROOKMINI (CRC, MHC-LP)
Entity type:Individual
Prefix:
First Name:ROOKMINI
Middle Name:
Last Name:MANGAL
Suffix:
Gender:F
Credentials:CRC, MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LEONARD PL APT 2
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12202-1313
Mailing Address - Country:US
Mailing Address - Phone:347-564-1284
Mailing Address - Fax:
Practice Address - Street 1:14 LEONARD PL APT 2
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12202-1313
Practice Address - Country:US
Practice Address - Phone:347-564-1284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP130740101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty