Healthcare Provider Details

I. General information

NPI: 1801619101
Provider Name (Legal Business Name): NAJMA ADAM LMHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 NORTHERN BLVD STE 404
MANHASSET NY
11030-3022
US

IV. Provider business mailing address

2064 W 6TH ST
BROOKLYN NY
11223-3738
US

V. Phone/Fax

Practice location:
  • Phone: 929-430-7545
  • Fax:
Mailing address:
  • Phone: 646-238-8537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P106685-01
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: