Healthcare Provider Details

I. General information

NPI: 1447405857
Provider Name (Legal Business Name): YAMIL SARABIA LP-MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2008
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 LEXINGTON AVE APT 26E
NEW YORK NY
10035-2918
US

IV. Provider business mailing address

2041 HOBART AVE
BRONX NY
10461-3976
US

V. Phone/Fax

Practice location:
  • Phone: 646-991-0661
  • Fax:
Mailing address:
  • Phone: 212-239-2252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number015120
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number18-P121309-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: