Healthcare Provider Details

I. General information

NPI: 1073452736
Provider Name (Legal Business Name): SOLEIL PSYCHOLOGICAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W 57TH ST STE 1100
NEW YORK NY
10019-2401
US

IV. Provider business mailing address

119 W 57TH ST STE 1100
NEW YORK NY
10019-2401
US

V. Phone/Fax

Practice location:
  • Phone: 646-543-5987
  • Fax:
Mailing address:
  • Phone: 646-543-5987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NINA LEI
Title or Position: MANAGING MEMBER
Credential: PH.D.
Phone: 646-543-5987