Healthcare Provider Details

I. General information

NPI: 1417766353
Provider Name (Legal Business Name): ASHWOOD MENTAL HEALTH COUNSELING P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 WILLIAMSBRIDGE RD
BRONX NY
10461-1629
US

IV. Provider business mailing address

2024 WILLIAMSBRIDGE RD STE 1
BRONX NY
10461-1631
US

V. Phone/Fax

Practice location:
  • Phone: 347-293-4932
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ARSHDEEP GARCHA
Title or Position: OWNER
Credential: LMHC
Phone: 347-293-4932