Healthcare Provider Details

I. General information

NPI: 1043508567
Provider Name (Legal Business Name): SEEKING SHALOM MENTAL HEALTH COUNSELING, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

353 W 48TH ST 3RD FLOOR
NEW YORK NY
10036-1324
US

IV. Provider business mailing address

PO BOX 685
HARRISON NY
10528-0685
US

V. Phone/Fax

Practice location:
  • Phone: 646-513-2866
  • Fax: 646-513-2860
Mailing address:
  • Phone: 646-513-2866
  • Fax: 646-513-2860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER L. SMITH
Title or Position: PRESIDENT
Credential: LMHC
Phone: 646-513-2866