Healthcare Provider Details

I. General information

NPI: 1952205486
Provider Name (Legal Business Name): EMMA LANDY L'ARCHEVESQUE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

3265 JOHNSON AVE
BRONX NY
10463-3539
US

IV. Provider business mailing address

56 E ROCKS RD
NORWALK CT
06851-2924
US

V. Phone/Fax

Practice location:
  • Phone: 347-292-7071
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP146057
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: