Healthcare Provider Details

I. General information

NPI: 1336954221
Provider Name (Legal Business Name): SYBIL OTTENSTEIN MENTAL HEALTH COUNSELOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 CUMBERLAND ST APT 21
BROOKLYN NY
11205-4694
US

IV. Provider business mailing address

36 WAVERLY AVE STE 303
BROOKLYN NY
11205-1236
US

V. Phone/Fax

Practice location:
  • Phone: 917-539-7889
  • Fax:
Mailing address:
  • Phone: 917-539-7889
  • 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: SYBIL OTTENSTEIN
Title or Position: OWNER
Credential: LMHC
Phone: 917-539-7889