Healthcare Provider Details

I. General information

NPI: 1831529510
Provider Name (Legal Business Name): SBH COUNSELING & CONSULTATION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2013
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4720 CENTER BLVD APT 325
LONG ISLAND CITY NY
11109-5663
US

IV. Provider business mailing address

4720 CENTER BLVD APT 325
LONG ISLAND CITY NY
11109-5663
US

V. Phone/Fax

Practice location:
  • Phone: 860-770-8640
  • Fax: 860-780-1103
Mailing address:
  • Phone: 860-770-8640
  • Fax: 860-780-1103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHEILA A. BRIDGES-HOWARD
Title or Position: OWNER
Credential: LCSW
Phone: 860-770-8640