Healthcare Provider Details

I. General information

NPI: 1114838588
Provider Name (Legal Business Name): EMMA PRISCILLA NETLAND MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 5TH AVE STE 1118
NEW YORK NY
10010-7744
US

IV. Provider business mailing address

156 5TH AVE STE 1118
NEW YORK NY
10010-7744
US

V. Phone/Fax

Practice location:
  • Phone: 347-286-1409
  • Fax:
Mailing address:
  • Phone: 347-286-1409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P145188-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: