Healthcare Provider Details

I. General information

NPI: 1841064177
Provider Name (Legal Business Name): KAELA A ASON-DUARTE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 AUSTIN ST APT 2B
FOREST HILLS NY
11375-3571
US

IV. Provider business mailing address

6711 AUSTIN ST APT 2B
FOREST HILLS NY
11375-3571
US

V. Phone/Fax

Practice location:
  • Phone: 347-502-3956
  • Fax:
Mailing address:
  • Phone: 347-502-3956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number015891
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: