Provider Demographics
NPI:1255734471
Name:LICHTENBERG, CHAVIE E (LMHC)
Entity type:Individual
Prefix:
First Name:CHAVIE
Middle Name:E
Last Name:LICHTENBERG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CHAVIE
Other - Middle Name:E
Other - Last Name:BERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 CHRISTOPHER ST APT 4N
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2846
Mailing Address - Country:US
Mailing Address - Phone:301-717-2703
Mailing Address - Fax:
Practice Address - Street 1:165 CHRISTOPHER ST APT 4N
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014
Practice Address - Country:US
Practice Address - Phone:301-717-2703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NY009408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health