Healthcare Provider Details

I. General information

NPI: 1588472302
Provider Name (Legal Business Name): HAPPY LIFE THERAPY AND COUNSELING INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 MAXWELL CT
PLAINVIEW NY
11803-6339
US

IV. Provider business mailing address

23 MAXWELL CT
PLAINVIEW NY
11803-6339
US

V. Phone/Fax

Practice location:
  • Phone: 917-495-2821
  • Fax:
Mailing address:
  • Phone: 917-495-2821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARY ZEKRYA
Title or Position: MEMBER
Credential:
Phone: 917-495-2821