Healthcare Provider Details

I. General information

NPI: 1669356358
Provider Name (Legal Business Name): HAIYIN LIU MHC-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 BLEECKER ST APT 2A
NEW YORK NY
10012-1490
US

IV. Provider business mailing address

1021 BEDFORD AVE APT 502
BROOKLYN NY
11205-5264
US

V. Phone/Fax

Practice location:
  • Phone: 929-353-2089
  • Fax:
Mailing address:
  • Phone: 929-353-2089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberP137162
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: