Provider Demographics
NPI:1700435633
Name:SOTACE, MICHAEL THOMAS (LMHC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:THOMAS
Last Name:SOTACE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MILLIGAN PL
Mailing Address - Street 2:OFFICE 3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-8374
Mailing Address - Country:US
Mailing Address - Phone:412-345-3914
Mailing Address - Fax:
Practice Address - Street 1:1 MILLIGAN PL
Practice Address - Street 2:OFFICE 3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8374
Practice Address - Country:US
Practice Address - Phone:412-345-3914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011472101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health