Provider Demographics
NPI:1700689932
Name:ANDRZEJEWSKI, TYTUS (LMHC)
Entity type:Individual
Prefix:
First Name:TYTUS
Middle Name:
Last Name:ANDRZEJEWSKI
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 1:220 KIRSHON AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-2734
Mailing Address - Country:US
Mailing Address - Phone:646-643-4162
Mailing Address - Fax:
Practice Address - Street 1:231 NORMAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-1563
Practice Address - Country:US
Practice Address - Phone:646-643-4162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015247101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health