Healthcare Provider Details

I. General information

NPI: 1255189049
Provider Name (Legal Business Name): PHILIPPA PANAYIOTOU MENTAL HEALTH COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2024
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 BROADWAY STE 904
NEW YORK NY
10010-8120
US

IV. Provider business mailing address

928 BROADWAY STE 904
NEW YORK NY
10010-8120
US

V. Phone/Fax

Practice location:
  • Phone: 917-740-1364
  • Fax:
Mailing address:
  • Phone: 917-740-1364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PHILIPPA PANAYIOTOU
Title or Position: OWNER
Credential: LMHC
Phone: 917-740-1364