Healthcare Provider Details

I. General information

NPI: 1992587539
Provider Name (Legal Business Name): LABADIA'S OFFICE, MENTAL HEALTH COUNSELING, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2023
Last Update Date: 10/18/2023
Certification Date: 10/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 MADISON AVE FL 8
NEW YORK NY
10016-2418
US

IV. Provider business mailing address

515 N ALFRED ST APT 202
WEST HOLLYWOOD CA
90048-2553
US

V. Phone/Fax

Practice location:
  • Phone: 212-300-3314
  • Fax:
Mailing address:
  • Phone: 212-300-3314
  • 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: JOSEPH LABADIA
Title or Position: OWNER
Credential: LMHC
Phone: 212-300-3314