Healthcare Provider Details

I. General information

NPI: 1144142258
Provider Name (Legal Business Name): JOY-JUDE JAD LAHOUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 MADISON AVE FL 17
NEW YORK NY
10016-1023
US

IV. Provider business mailing address

420 S DIXIE HWY
CORAL GABLES FL
33146-2222
US

V. Phone/Fax

Practice location:
  • Phone: 646-760-3399
  • Fax:
Mailing address:
  • Phone: 305-733-7774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP144497
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: