Healthcare Provider Details

I. General information

NPI: 1790689198
Provider Name (Legal Business Name): THERAPEUTIC CORNER MENTAL HEALTH COUNSELING P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 PARK AVE
ALBANY NY
12202-1723
US

IV. Provider business mailing address

66 PARK AVE
ALBANY NY
12202-1723
US

V. Phone/Fax

Practice location:
  • Phone: 929-260-2832
  • 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 StateNULL

VIII. Authorized Official

Name: SHIH-HAN LU
Title or Position: FOUNDER
Credential: LMHC-D
Phone: 929-260-2832