Healthcare Provider Details

I. General information

NPI: 1548939994
Provider Name (Legal Business Name): KRISTEN STRAMKA LMHC, CASAC-M
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 04/14/2024
Certification Date: 04/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 8TH AVE STE 711
NEW YORK NY
10011-7176
US

IV. Provider business mailing address

80 8TH AVE STE 711
NEW YORK NY
10011-7176
US

V. Phone/Fax

Practice location:
  • Phone: 917-765-8579
  • Fax:
Mailing address:
  • Phone: 917-765-8579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number34290
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number014586
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: