Provider Demographics
NPI:1780348524
Name:ANDREA STANG-MCKEOUGH MENTAL HEALTH COUNSELING PLLC
Entity type:Organization
Organization Name:ANDREA STANG-MCKEOUGH MENTAL HEALTH COUNSELING PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANG-MCKEOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-844-3993
Mailing Address - Street 1:2 W 45TH ST STE 1103
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4250
Mailing Address - Country:US
Mailing Address - Phone:646-844-3993
Mailing Address - Fax:917-725-9699
Practice Address - Street 1:2 W 45TH ST STE 1103
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4250
Practice Address - Country:US
Practice Address - Phone:646-844-3993
Practice Address - Fax:917-725-9699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty