Provider Demographics
NPI:1881711265
Name:HEVER, ILANA I (MFT)
Entity type:Individual
Prefix:MISS
First Name:ILANA
Middle Name:
Last Name:HEVER
Suffix:I
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 W. 57 ST.
Mailing Address - Street 2:#9E
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:917-428-7412
Mailing Address - Fax:
Practice Address - Street 1:168 W. 86 ST.
Practice Address - Street 2:#1B
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:917-428-7412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYMFT 91101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health