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NPI Code Detail

MEDICARE: GRACE ANNA LIM LMHC

MEDICARE:   GRACE ANNA LIM  LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor016818NY

General Provider Information

NPI Number : 1275176927
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ANNA LIM LMHC
Provider Business Mailing Address
First Line : 6800 JERICHO TPKE STE 120W
Second Line :
City : SYOSSET
State : NY
Zip : 11791-4445
Country : US
Telephone Number : 516-393-5966
Fax Number : 800-783-5909
Provider Business Practice Location Address
First Line : 1501 BROADWAY STE 1505
Second Line :
City : NEW YORK
State : NY
Zip : 10036-5521
Country : US
Telephone Number : 332-245-0300
Fax Number : 212-253-4173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2019
Last Update Date : 04/17/2026

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