Healthcare Provider Details

I. General information

NPI: 1427895721
Provider Name (Legal Business Name): ZALTA MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 07/12/2024
Certification Date: 07/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1637 E 21ST ST
BROOKLYN NY
11210-5037
US

IV. Provider business mailing address

1637 E 21ST ST
BROOKLYN NY
11210-5037
US

V. Phone/Fax

Practice location:
  • Phone: 732-337-6443
  • Fax:
Mailing address:
  • Phone: 732-337-6443
  • 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: MR. SAUL M ZALTA
Title or Position: OWNER
Credential: LMHC
Phone: 732-337-6443