Provider Demographics
NPI:1790399491
Name:HASSAD, ROSSI ALIM (LMHC)
Entity type:Individual
Prefix:
First Name:ROSSI
Middle Name:ALIM
Last Name:HASSAD
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 1:1980 UNIONPORT RD APT E31
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2864
Mailing Address - Country:US
Mailing Address - Phone:917-548-6332
Mailing Address - Fax:
Practice Address - Street 1:1980 UNIONPORT RD APT E31
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2864
Practice Address - Country:US
Practice Address - Phone:917-548-6332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001979101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health