Healthcare Provider Details

I. General information

NPI: 1154131605
Provider Name (Legal Business Name): NEW DAWN MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2025
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5027 103RD ST
CORONA NY
11368-3118
US

IV. Provider business mailing address

5027 103RD ST
CORONA NY
11368-3118
US

V. Phone/Fax

Practice location:
  • Phone: 347-666-3166
  • Fax:
Mailing address:
  • Phone: 347-666-3166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: FRANK C CASTILLO
Title or Position: LMHC
Credential: LMHC
Phone: 347-666-3166