Healthcare Provider Details

I. General information

NPI: 1104751957
Provider Name (Legal Business Name): LARIANNA KAPLAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PARK AVE
DUMONT NJ
07628-3004
US

IV. Provider business mailing address

2730 W 33RD ST APT 9C
BROOKLYN NY
11224-1646
US

V. Phone/Fax

Practice location:
  • Phone: 201-567-0059
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: