Healthcare Provider Details

I. General information

NPI: 1205385507
Provider Name (Legal Business Name): YUKO KOBAYASHI LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YUKO PARRIS

II. Dates (important events)

Enumeration Date: 09/27/2016
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 31ST ST S APT 300
BIRMINGHAM AL
35205-2019
US

IV. Provider business mailing address

1318 31ST ST S APT 300
BIRMINGHAM AL
35205-2019
US

V. Phone/Fax

Practice location:
  • Phone: 917-743-1068
  • Fax:
Mailing address:
  • Phone: 917-743-1068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number009052
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: