Healthcare Provider Details

I. General information

NPI: 1215552146
Provider Name (Legal Business Name): TASNIM RASHID CHIANG LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 ROCKAWAY AVE
OCEANSIDE NY
11572-1835
US

IV. Provider business mailing address

1 3RD AVE PH 18
MINEOLA NY
11501-4355
US

V. Phone/Fax

Practice location:
  • Phone: 347-429-1071
  • Fax:
Mailing address:
  • Phone: 347-429-1071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number007800
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number15BC00036600
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: