Healthcare Provider Details

I. General information

NPI: 1851252167
Provider Name (Legal Business Name): JIAYUE LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 61ST ST APT 1729
NEW YORK NY
10023-0235
US

IV. Provider business mailing address

400 W 61ST ST APT 1729
NEW YORK NY
10023-0235
US

V. Phone/Fax

Practice location:
  • Phone: 657-619-0101
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: